Individual
MARIA M SHIVPRASHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3584 JEROME AVE, BRONX, NY 10467-1006
(718) 653-1537
(718) 228-6993
Mailing address
4214 EDSON AVE, BRONX, NY 10466-2014
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
P113452
NY
Other
Enumeration date
04/14/2022
Last updated
10/17/2023
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