Individual
ANGIE PARVATI BASDEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4806 58TH LN, WOODSIDE, NY 11377-5541
(718) 659-4000
(718) 659-1405
Mailing address
4806 58TH LN, WOODSIDE, NY 11377-5541
(718) 659-4000
(718) 659-1405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
067958
NY
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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