Organization
IRENE SOFIA THERAPY LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE SOFIA KOUTSIDIS-MARTELLI MS (SUPERVISOR/OWNER)
(347) 256-4597
Entity
Organization
Contact information
Practice address
13430 SITKA ST, OZONE PARK, NY 11417-2436
(347) 403-2102
Mailing address
13430 SITKA ST, OZONE PARK, NY 11417-2436
(347) 403-2102
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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