Individual
AVITAL ISAACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
110 LAFAYETTE ST RM 501, NEW YORK, NY 10013-4116
(347) 762-5385
Mailing address
110 LAFAYETTE ST RM 501, NEW YORK, NY 10013-4116
(347) 762-5385
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
097943
NY
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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