Individual
TIERNEY VERDERAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 E 119TH ST, NEW YORK, NY 10035-3627
(212) 360-4002
(212) 369-4011
Mailing address
1776 CLAY AVE, BRONX, NY 10457-7239
(718) 960-7568
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001405
NY
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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