Individual
LIDIA E FLORES-BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
928 BROADWAY, SUITE807, NEW YORK, NY 10010-6008
(718) 513-8169
Mailing address
3810 23RD AVE APT 1R, ASTORIA, NY 11105-1964
(718) 513-8169
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000998-1
NY
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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