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Organization

NATALYA LITVINOVA, LCSW, P.L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NATALYA LITVINOVA LCSW-R (PSYCHOTHERAPIST)
(718) 720-1453
Entity
Organization

Contact information

Practice address
196 SAND LN, STATEN ISLAND, NY 10305-4503
(718) 720-1453
Mailing address
196 SAND LN, STATEN ISLAND, NY 10305-4503
(718) 720-1453

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
R069630
NY

Other

Enumeration date
09/10/2009
Last updated
09/10/2009
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