Individual
MS. CAROL MAVRONICOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 BROADWAY, SUITE 1309, NEW YORK, NY 10010-7108
(212) 780-9630
(212) 253-7171
Mailing address
915 BROADWAY, SUITE 1309, NEW YORK, NY 10010-7108
(212) 780-9630
(212) 253-7171
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RO39508-1
NY
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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