Individual
AVA PATRICE IANNITTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
767 BROADWAY #1327, NEW YORK, NY 10003
(914) 265-4750
Mailing address
767 BROADWAY #1327, NEW YORK, NY 10003
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
112840
NY
1041C0700X
Clinical Social Worker
Primary
101806
NY
Other
Enumeration date
07/02/2025
Last updated
12/19/2025
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