Individual
VANESSA DZMUROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 UNION SQ W STE 1328, NEW YORK, NY 10003-3252
(516) 382-5440
Mailing address
STECHOVICKA 3468/2, APT B-201, PRAGUE, CZECH REPUBLIC 100 0-0
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366012551
GROUP NPI
—
Enumeration date
12/05/2022
Last updated
12/05/2022
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