Individual
MRS. BETHZAIDA CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2089 3RD AVE, NEW YORK, NY 10029-2117
(212) 828-6144
Mailing address
11302 200TH ST, SAINT ALBANS, NY 11412-2527
(347) 548-5638
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
069532
NY
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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