Individual
VICTORIA MIERLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCAT, MT-BC
Contact information
Practice address
3541 CRESCENT ST APT 3R, ASTORIA, NY 11106-3930
(516) 521-1431
Mailing address
3541 CRESCENT ST APT 3R, ASTORIA, NY 11106-3930
(516) 521-1431
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
001174
NY
Other
Enumeration date
01/27/2009
Last updated
09/18/2020
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