Individual
IESHAH MAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1600 FRONT ST, EAST MEADOW, NY 11554-2330
(516) 331-1237
Mailing address
752 DALE PL, UNIONDALE, NY 11553-3002
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001382
NY
106H00000X
Marriage & Family Therapist
NJDCATEMP-018784
NJ
Other
Enumeration date
11/26/2017
Last updated
05/14/2020
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