Individual
SHIRA ETZION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 UNION SQ W, SUITE 1328, NEW YORK, NY 10003-3236
(516) 445-5012
Mailing address
45 HANOVER CT, MANHASSET, NY 11030-3921
(516) 445-5012
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
P03411
NY
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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