Individual
ALEYAMMA PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
41 7TH ST, NEW HYDE PARK, NY 11040-4132
(516) 708-3752
Mailing address
41 7TH ST, NEW HYDE PARK, NY 11040-4132
(516) 708-3752
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105405-01
NY
Other
Enumeration date
01/02/2023
Last updated
01/02/2023
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