Individual
ANGEL PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
954 KINDERKAMACK RD, RIVER EDGE, NJ 07661-2312
(516) 497-4649
Mailing address
344 WHITE BIRCH LN, JERICHO, NY 11753-2625
(516) 497-4649
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
001638-1
NY
Other
Enumeration date
09/24/2014
Last updated
02/03/2015
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