Individual
ELIM MAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2089 3RD AVE, NEW YORK, NY 10029-2184
(212) 828-6144
Mailing address
2089 3RD AVE, NEW YORK, NY 10029-2184
(908) 379-9623
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001642
NY
Other
Enumeration date
01/26/2019
Last updated
06/29/2021
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