Individual
MRS. PHILANA NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
329 E 149TH ST, 4TH FLOOR, BRONX, NY 10451-5601
(718) 769-2698
Mailing address
939 WOODYCREST AVE, APT. 202, BRONX, NY 10452
(347) 701-0231
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2530153
NY
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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