Individual
CASSIDY ROMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
129 FULTON ST, NEW YORK, NY 10038-2716
(212) 289-6100
Mailing address
129 FULTON ST, NEW YORK, NY 10038-2716
(212) 289-6100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
121067
NY
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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