Individual
MRS. CHYNIQUA HILL-LIBURD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2839 BAINBRIDGE AVE, 3B, BRONX, NY 10458-2831
(347) 597-5066
Mailing address
2839 BAINBRIDGE AVE, 3B, BRONX, NY 10458-2831
(347) 597-5066
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
091734-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
252Y00000X
EARLY INTERVENTION PROVIDER AGENCY
NY
Enumeration date
08/13/2015
Last updated
08/13/2015
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