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Individual

MS. IMMACULA BERROUET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MENTAL HEALTH PR.

Contact information

Practice address
7649 HEWLETT ST, NEW HYDE PARK, NY 11040-1429
(212) 338-1903
Mailing address
2326 CENTRAL AVE, BALDWIN, NY 11510-3303
(917) 971-4567

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary

Other

Enumeration date
03/09/2020
Last updated
03/09/2020
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