Individual
ALEECIA KALOUSTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 COOPER SQ APT 2B, NEW YORK, NY 10003-7126
(631) 926-6137
Mailing address
65 COOPER SQ APT 2B, NEW YORK, NY 10003-7126
(631) 926-6137
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002420
NY
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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