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Individual

DR. PIA C. MARINANGELI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LCSW

Contact information

Practice address
1646 1ST AVE, 12G, NEW YORK, NY 10028-4629
(212) 613-0062
Mailing address
10 E END AVE, SUITE 1K, NEW YORK, NY 10021-1106
(212) 613-0062

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
R043229-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01459690
NY
Enumeration date
02/10/2007
Last updated
07/08/2007
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