Individual
ERASTO NOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
700 WASHINGTON AVE, ALBANY, NY 12203-1404
(518) 475-6299
Mailing address
1352 3RD ST, RENSSELAER, NY 12144-1822
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
119633-01
NY
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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