Individual
MARIELA CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1841 PARK AVE, NEW YORK, NY 10035
(917) 828-4321
Mailing address
1841 PARK AVE, NEW YORK, NY 10035
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
127704-01
NY
175T00000X
Peer Specialist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/25/2022
Last updated
04/20/2026
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