Individual
MR. ANDRE ANTELIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
4470 21ST ST # 1040, LONG ISLAND CITY, NY 11101-5114
(646) 389-6622
Mailing address
4470 21ST ST # 1040, LONG ISLAND CITY, NY 11101-5114
(646) 389-6622
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010765
NY
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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