Individual
MS. CARLA NITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-8363
Mailing address
4205 48TH AVE, APT. 6H, WOODSIDE, NY 11377-6246
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
0742901
NY
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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