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Individual

MS. ANA-ROSA ABOITIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
255 W. 88TH STREET, SUITE 1A, NEW YORK, NY 10024-1717
(646) 645-3340
Mailing address
180 RIVERSIDE DRIVE, APARTMENT 8A, NEW YORK, NY 10024-1049
(646) 645-3340

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
081323
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13786392
CAQH
Enumeration date
09/06/2008
Last updated
04/26/2020
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