| Powerful Mind Lcsw, P.c. | |
|
10340 52nd Ave Corona NY 11368-3253 | |
| (646) 709-1841 | |
| Not Available |
| Full Name | Powerful Mind Lcsw, P.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10340 52nd Ave, Corona, New York |
| Authorized Official Name and Position | Norton A Saenz De Viteri (LICENSED PSYCHOTHERAPIST) |
| Authorized Official Contact | 6467091841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powerful Mind Lcsw, P.c. 10340 52nd Ave Corona NY 11368-3253 Ph: (646) 709-1841 | Powerful Mind Lcsw, P.c. 10340 52nd Ave Corona NY 11368-3253 Ph: (646) 709-1841 |
| NPI Number | 1528508280 |
|---|---|
| Provider Enumeration Date | 02/28/2017 |
| Last Update Date | 02/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528508280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 073697-1 (New York) | Primary |
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