Individual
MS. CAROL PAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1260 RICHMOND RD, STATEN ISLAND, NY 10304-2304
(718) 667-1416
(718) 983-0348
Mailing address
100 COLFAX AVE, STATEN ISLAND, NY 10306-3306
(718) 987-8521
(718) 983-0348
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R058729-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
554982
VALUE OPTION
NY
01
—
P2367187
OXFORD
NY
Enumeration date
07/06/2006
Last updated
07/08/2007
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