Individual
ADRIANA PASSINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
37-12 82 STREET, 232, JACKSON HEIGHTS, NY 11372
(212) 505-3588
Mailing address
84-64 AVON STREET, JAMAICA ESTATES, NY 11432
(718) 298-6224
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R042687-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02401421
—
NY
01
—
161995P
HIP PRIS #
NY
01
—
P1725356
OXFORD
NY
Enumeration date
09/19/2006
Last updated
07/09/2007
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