Organization
NIRVEETA CHARLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIRVEETA CHARLES LMFT (MARRIAGE AND FAMILY THERAPIST)
(347) 260-7216
Entity
Organization
Contact information
Practice address
14929 128TH ST, SOUTH OZONE PARK, NY 11420-3712
(347) 260-7216
Mailing address
PO BOX 200091, SOUTH OZONE PARK, NY 11420-0091
(347) 260-7216
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
001364
NY
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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