Individual
RACINE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. LMFT
Contact information
Practice address
1749 VICTORY BLVD, STATEN ISLAND, NY 10314-3552
(718) 764-8278
Mailing address
1749 VICTORY BLVD, STATEN ISLAND, NY 10314-3552
(718) 764-8278
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001150
NY
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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