Individual
JAMIE LIORA ADGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
295 CENTRAL PARK W OFC 2, NEW YORK, NY 10024-3021
(516) 355-1700
Mailing address
11 ROBERTA LN, SYOSSET, NY 11791-5826
(516) 355-1700
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
002244
NY
221700000X
Art Therapist
002244
NY
Other
Enumeration date
09/26/2019
Last updated
08/21/2023
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