Individual
ADA ADINA FOZIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9941 64TH AVE APT C7, REGO PARK, NY 11374-2670
(646) 361-1477
Mailing address
9941 64TH AVE APT C7, REGO PARK, NY 11374-2670
(646) 361-1477
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1383558
NY
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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