Individual
STAV LIVNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LP
Contact information
Practice address
PO BOX 170152, BROOKLYN, NY 11217-0152
(646) 651-9189
Mailing address
PO BOX 170152, BROOKLYN, NY 11217-0152
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001251
NY
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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