Organization
LEGENDARY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE BYUN M.ED (SCHOOL COUNSELOR)
(917) 699-3642
Entity
Organization
Contact information
Practice address
225 E 34TH ST APT 10H, NEW YORK, NY 10016-4737
(917) 699-3642
Mailing address
225 E 34TH ST APT 10H, NEW YORK, NY 10016-4737
(917) 699-3642
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
1395071
NY
Other
Enumeration date
06/16/2012
Last updated
06/16/2012
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