| R E V E A L | |
|
666 Onderdonk Ave Ridgewood NY 11385-2207 | |
| (917) 652-1378 | |
| (347) 889-6989 |
| Full Name | R E V E A L |
|---|---|
| Speciality | Social Worker |
| Location | 666 Onderdonk Ave, Ridgewood, New York |
| Authorized Official Name and Position | Elizabeth Franqui (OWNER) |
| Authorized Official Contact | 9176521378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R E V E A L 666 Onderdonk Ave Ridgewood NY 11385-2207 Ph: (917) 652-1378 | R E V E A L 666 Onderdonk Ave Ridgewood NY 11385-2207 Ph: (917) 652-1378 |
| NPI Number | 1841559499 |
|---|---|
| Provider Enumeration Date | 05/15/2012 |
| Last Update Date | 05/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841559499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 076961.1 (New York) | Primary |
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