Individual
AYUSHI SHUKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16318 JAMAICA AVE STE 502, JAMAICA, NY 11432-4919
(718) 658-0010
Mailing address
9743 81ST ST, OZONE PARK, NY 11416-1921
(516) 416-8688
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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