Individual
MS. CELISA MALIKA VANDERBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
64 OLD RIVERHEAD RD, WESTHAMPTON BEACH, NY 11978-1451
(646) 655-8204
Mailing address
907 TOWNEHOUSE DR, CORAM, NY 11727-2824
(646) 655-8204
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
127117
NY
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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