Individual
JOAN LIWERANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6811 147TH ST, FLUSHING, NY 11367-1336
(718) 268-0485
Mailing address
6811 147TH ST, FLUSHING, NY 11367-1336
(718) 268-0485
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
NY
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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