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Individual

MRS. ANITA PERRONE RONIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW,CASAC

Contact information

Practice address
51 E 73RD ST, SUITE 5A, NEW YORK, NY 10021-3567
(212) 920-1978
Mailing address
51 E 73RD ST, SUITE 5A, NEW YORK, NY 10021-3567
(212) 920-1978

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18591
NY
101YM0800X
Mental Health Counselor
Primary
077471
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
TAX ID 46-0666841
NY LICENSE # 077471
NY
Enumeration date
05/14/2010
Last updated
10/15/2012
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