Individual
COLLEEN RISAVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 W 41ST ST, NEW YORK, NY 10036-6801
(646) 873-4096
Mailing address
4701 47TH ST APT 1C, WOODSIDE, NY 11377-6671
(908) 285-0315
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
120178
NY
104100000X
Social Worker
44SL07017400
NJ
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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