Individual
MS. NIEVEL MARISA STANISCLAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
930 E 229TH ST, 1, BRONX, NY 10466-4614
(347) 526-1932
Mailing address
930 E 229TH ST, 1, BRONX, NY 10466-4614
(347) 526-1932
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
00085494
NY
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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