| Lady Of Excellence Llc | |
|
82 Saint Marks Pl Apt 3i Staten Island NY 10301-1646 | |
| (254) 383-8718 | |
| Not Available |
| Full Name | Lady Of Excellence Llc |
|---|---|
| Speciality | Counselor |
| Location | 82 Saint Marks Pl Apt 3i, Staten Island, New York |
| Authorized Official Name and Position | Sharmain Burch (EXECUTIVE) |
| Authorized Official Contact | 2543838718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lady Of Excellence Llc 5525 Stubben Ct Columbus GA 31909-1871 Ph: (254) 383-8718 | Lady Of Excellence Llc 82 Saint Marks Pl Apt 3i Staten Island NY 10301-1646 Ph: (254) 383-8718 |
| NPI Number | 1750196747 |
|---|---|
| Provider Enumeration Date | 02/08/2025 |
| Last Update Date | 02/08/2025 |
| Certification Date | 02/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750196747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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