Individual
OLIWIA PRUSACZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3164 21ST ST, LONG ISLAND CITY, NY 11106-4573
(631) 365-9350
Mailing address
189 RUSSELL ST, BROOKLYN, NY 11222-3601
(917) 370-9445
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
002440
NY
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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