| Irene Sofia Therapy Lcsw Pc | |
|
13430 Sitka St Ozone Park NY 11417-2436 | |
| (347) 403-2102 | |
| Not Available |
| Full Name | Irene Sofia Therapy Lcsw Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 13430 Sitka St, Ozone Park, New York |
| Authorized Official Name and Position | Irene Sofia Koutsidis-martelli (SUPERVISOR/OWNER) |
| Authorized Official Contact | 3472564597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irene Sofia Therapy Lcsw Pc 13430 Sitka St Ozone Park NY 11417-2436 Ph: (347) 403-2102 | Irene Sofia Therapy Lcsw Pc 13430 Sitka St Ozone Park NY 11417-2436 Ph: (347) 403-2102 |
| NPI Number | 1306649470 |
|---|---|
| Provider Enumeration Date | 04/01/2025 |
| Last Update Date | 04/01/2025 |
| Certification Date | 03/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306649470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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