Individual
REBECCA VERSACI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
29 CORCHAUG AVE, PORT WASHINGTON, NY 11050-2019
(609) 558-5948
Mailing address
29 CORCHAUG AVE, PORT WASHINGTON, NY 11050-2019
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002137
NY
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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