Individual
MRS. ANGELA MARIA TAVERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
141 OLD NORTHERN BLVD, ROSALYN, NY 11576
(516) 625-6846
Mailing address
1686 GRAND CONCOURSE APT 5B, BRONX, NY 10457-7618
(646) 897-0243
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
094372
NY
Other
Enumeration date
03/30/2015
Last updated
04/07/2015
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