Individual
MRS. NICOLE SISENWEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1024 49TH AVE, LONG ISLAND CITY, NY 11101-5613
(718) 786-1104
(718) 391-0040
Mailing address
1024 49TH AVE, LONG ISLAND CITY, NY 11101-5613
(718) 786-1104
(718) 391-0040
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
72 095168
NY
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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