Individual
LANA OSNAT ELIZIROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5309 18TH AVE, BROOKLYN, NY 11204-1523
(718) 875-6900
Mailing address
290 WOODVALE AVE, STATEN ISLAND, NY 10309-3527
(347) 359-1186
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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