Individual
BEVERLY O PRYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4500 PARSONS BLVD, FLUSHING, NY 11355-2205
(718) 640-5996
Mailing address
2410 AVALON PINES DR, CORAM, NY 11727-5149
(631) 813-2538
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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