Organization
ALL LIFE THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE E CIERVO LMSW (CEO)
(914) 410-7830
Entity
Organization
Contact information
Practice address
1524 HOLLYWOOD AVE, BRONX, NY 10461-6062
(914) 410-7830
Mailing address
1524 HOLLYWOOD AVE, BRONX, NY 10461-6062
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
04/01/2025
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