Organization
COACH2CALM, INC.
Active
Other names
NANCY FARBER
Organization subpart
No
Provider details
NPI number
Authorized official
LUISA DIMONDA (DESIGNATED OFFICAL)
(516) 761-9898
Entity
Organization
Contact information
Practice address
800 UNION ST APT 4B, BROOKLYN, NY 11215-1799
(516) 312-0477
Mailing address
800 UNION ST APT 4B, BROOKLYN, NY 11215-1799
(516) 312-0477
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F420264
LICENSE NUMBER
NY
Enumeration date
09/20/2019
Last updated
11/05/2021
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