Individual
AGNES TRINITY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
777 SEAVIEW AVE, BUILDING #2 1ST FLOOR, STATEN ISLAND, NY 10305-3409
(718) 351-5530
(718) 351-3569
Mailing address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3409
(718) 351-5530
(718) 351-3569
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13-4182492
NY
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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