Individual
DR. ADA IVETTE NIEVES-BRULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D.
Contact information
Practice address
7000 AUSTIN STREET, FOREST HILLS, NY 11375
(718) 762-7633
Mailing address
393 NICOLLS ROAD, DEER PARK, NY 11729-1805
(631) 830-7342
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
12/30/2014
Last updated
07/21/2022
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