Individual
ADI AVIVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 W 51ST ST STE 340, NEW YORK, NY 10019-1951
(212) 326-8441
Mailing address
879 SAINT JOHNS PL, APT 3, BROOKLYN, NY 11216-4327
(617) 460-4054
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
68020833
NY
Other
Enumeration date
09/30/2015
Last updated
09/19/2018
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