Organization
BLOSSOMING PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIOLETA BIANUCCI PHD (CLINICAL PSYCHOLOGIST)
(917) 655-0701
Entity
Organization
Contact information
Practice address
3710 76TH ST APT 3G, JACKSON HEIGHTS, NY 11372-6511
(917) 655-0701
Mailing address
3710 76TH ST APT 3G, JACKSON HEIGHTS, NY 11372-6511
(917) 655-0701
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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