Individual
ALTAGRACIA CORNIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4404 QUEENS BLVD, SUNNYSIDE, NY 11104-2406
(646) 272-9656
Mailing address
1491 MONTGOMERY AVE APT 6B, BRONX, NY 10453-0476
(646) 272-9656
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
118398
NY
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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