Individual
AVITAL SARAH MUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(347) 931-7405
Mailing address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(347) 931-7405
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/07/2017
Last updated
10/08/2018
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