Individual
CLARA LEYDA LIRIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. EDUCATION
Contact information
Practice address
4314 216TH ST, 2ND FLOOR, BAYSIDE, NY 11361-2943
(718) 791-9176
Mailing address
4314 216TH ST, 2ND FLOOR, BAYSIDE, NY 11361-2943
(718) 791-9176
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1917315
NY
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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