Individual
MS. IVY AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
160 W 86TH ST, NEW YORK, NY 10024-4018
(212) 875-1300
Mailing address
2501 PALISADE AVE APT C2, BRONX, NY 10463-6104
(646) 456-8839
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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