Individual
MRS. AVIVA TOVA BASHKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
21 LAUREL AVE, SUITE 290, CORNWALL, NY 12518-1469
(845) 458-4557
(845) 458-4559
Mailing address
21 LAUREL AVE, SUITE 290, CORNWALL, NY 12518-1469
(845) 458-4557
(845) 458-4559
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
078774
NY
Other
Enumeration date
02/11/2012
Last updated
03/29/2012
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