Individual
AVIVA RASKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MPH
Contact information
Practice address
255 W 108TH ST, NEW YORK, NY 10025-2976
(650) 451-8975
Mailing address
255 W 108TH ST APT 4C1, NEW YORK, NY 10025-2923
(650) 451-8975
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
107317
NY
1041C0700X
Clinical Social Worker
Primary
095398
NY
Other
Enumeration date
07/01/2020
Last updated
06/13/2023
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