Individual
NICOLE LUZMILA CALDERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
9114 MERRICK BLVD STE 3, JAMAICA, NY 11432-5363
(347) 451-4769
Mailing address
22240 EDMORE AVE, QUEENS VILLAGE, NY 11428-1918
(347) 451-4769
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NY
221700000X
Art Therapist
Primary
002968
NY
Other
Enumeration date
07/07/2021
Last updated
06/12/2024
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