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Individual

AVA AVIDAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCAT

Contact information

Practice address
1 GREEN HILL LN, SPRING VALLEY, NY 10977-1608
(845) 282-0907
Mailing address
1 GREEN HILL LN, SPRING VALLEY, NY 10977-1608
(845) 282-0907

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000733
NY

Other

Enumeration date
06/14/2012
Last updated
06/14/2012
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