Individual
CARROL SAVITRI BISSOONDIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9729 64TH RD, REGO PARK, NY 11374-2259
(718) 896-3400
Mailing address
8780 97TH ST, WOODHAVEN, NY 11421-2254
(917) 842-2468
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
081498
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011
CLINICAL SOCIAL WORKER
NY
Enumeration date
12/28/2009
Last updated
06/13/2014
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