Individual
AYSYLU MARDANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
274 MADISON AVE RM 1501, NEW YORK, NY 10016-0701
(212) 203-1773
(646) 665-4427
Mailing address
60 PARKSIDE LN, TEANECK, NJ 07666-1440
(646) 707-6194
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
090561-1
NY
Other
Enumeration date
04/20/2015
Last updated
07/07/2025
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