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Individual

ALLY DANIELLE LIFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15 SHORTWOOD LN, SETAUKET, NY 11733-1519
(631) 617-7724
Mailing address
3600 ROUTE 112, CORAM, NY 11727-4116
(631) 920-8500

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
013936-01
NY
221700000X
Art Therapist
002762
NY

Other

Enumeration date
10/26/2020
Last updated
10/26/2023
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