Individual
NIRVEETA DEVIKA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
101 HILLSIDE AVE STE D, WILLISTON PARK, NY 11596
(347) 829-4021
Mailing address
3682 BAYVIEW ST, SEAFORD, NY 11783-3344
(347) 829-4021
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001364
NY
Other
Enumeration date
05/31/2017
Last updated
08/05/2021
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