Individual
ANI MNATSAKANYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 SHARROTTS LN, STATEN ISLAND, NY 10309-1948
(646) 599-2407
Mailing address
32 SHARROTTS LN, STATEN ISLAND, NY 10309-1948
(646) 599-2407
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174400000X
BEHAVIORAL THERAPIST
—
Enumeration date
05/02/2022
Last updated
05/02/2022
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