Practical Online Therapy, Llc | |
10417 35th Ave Corona NY 11368-1933 | |
(929) 335-4227 | |
(929) 376-0029 |
Full Name | Practical Online Therapy, Llc |
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Speciality | Social Worker - Clinical |
Location | 10417 35th Ave, Corona, New York |
Authorized Official Name and Position | Nixaly Leonardo-yakubov (PRESIDENT) |
Authorized Official Contact | 3478482237 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Practical Online Therapy, Llc 10417 35th Ave Corona NY 11368-1933 Ph: (929) 335-4227 | Practical Online Therapy, Llc 10417 35th Ave Corona NY 11368-1933 Ph: (929) 335-4227 |
NPI Number | 1417615675 |
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Provider Enumeration Date | 12/06/2021 |
Last Update Date | 08/05/2022 |
Certification Date | 08/05/2022 |
Identifier | Type | State | Issuer |
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1417615675 | NPI | - | NPPES |
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