Individual
ARIELA NISANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10470 QUEENS BLVD, FOREST HILLS, NY 11375-3638
(917) 943-2318
Mailing address
10470 QUEENS BLVD, FOREST HILLS, NY 11375-3638
(917) 943-2318
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
123370
NY
Other
Enumeration date
10/11/2024
Last updated
10/15/2024
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