Individual
ANNALISSA G. VICENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCAT, MT-BC
Contact information
Practice address
205 W 15TH ST APT 2E, NEW YORK, NY 10011-6414
(914) 481-2283
(888) 651-4682
Mailing address
205 W 15TH ST APT 2E, NEW YORK, NY 10011-6414
(914) 481-2283
(888) 651-4682
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
002111
NY
225A00000X
Music Therapist
12125
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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