Individual
ANIL KURUVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3050 WHITE PLAINS RD, BRONX, NY 10467-8124
(929) 348-4439
Mailing address
1500 WATERS PL, BRONX, NY 10461-2723
(929) 348-3324
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
057014
NY
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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