Individual
LIRA JOY HANDAYAN VALENZUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 E 125TH ST, NEW YORK, NY 10035-6000
(646) 766-5961
Mailing address
1125 127TH ST APT 2, COLLEGE POINT, NY 11356-1955
(646) 943-9991
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
743965
NY
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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