Individual
ANA ANICETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91-14 37TH AVE, JACKSON HEIGHTS, NY 11372
(718) 779-1600
Mailing address
10827 42ND AVE, FL1, CORONA, NY 11368-2532
(917) 573-3800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
12/28/2016
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