Individual
ANAURYS MASSIEL DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1 GUSTAVE L LEVY PL # 1252, NEW YORK, NY 10029-6504
(212) 824-8139
Mailing address
1 GUSTAVE L LEVY PL # 1252, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P07289
NY
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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