Individual
SUSHMA MEKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
101 LIVINGSTON AVE, STATEN ISLAND, NY 10314-5128
(917) 609-4089
Mailing address
101 LIVINGSTON AVE, STATEN ISLAND, NY 10314-5128
(917) 609-4089
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2559194
NY
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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