Individual
AMBER NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7410 35TH AVE APT 107W, JACKSON HEIGHTS, NY 11372-8105
(718) 779-6562
Mailing address
6 CHARLOTTE ST, RIDGEWOOD, NY 11385-1094
(347) 409-4886
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
095603
NY
Other
Enumeration date
11/25/2016
Last updated
11/25/2016
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