Individual
ANNA LA TOURETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
675 3RD AVE, NEW YORK, NY 10017-5704
(212) 204-5118
Mailing address
675 3RD AVE, NEW YORK, NY 10017-5704
(212) 204-5118
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
092356
NY
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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