Individual
BERYL AUDREY OWUSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1976 GRAND AVE, NORTH BALDWIN, NY 11510-2844
(516) 865-3349
Mailing address
14716 224TH ST, SPRINGFIELD GARDENS, NY 11413-4144
(347) 423-1774
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
120391-01
NY
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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