| Nova Antoinette Simister-irving Lcsw Pc | |
|
730 E 232nd St Apt 3a Bronx NY 10466-4115 | |
| (914) 316-1914 | |
| Not Available |
| Full Name | Nova Antoinette Simister-irving Lcsw Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 730 E 232nd St Apt 3a, Bronx, New York |
| Authorized Official Name and Position | Nova Antoinette Simister (OWNER) |
| Authorized Official Contact | 9143161914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Antoinette Simister-irving Lcsw Pc Po Box 351 Poughquag NY 12570-0351 Ph: (914) 316-1914 | Nova Antoinette Simister-irving Lcsw Pc 730 E 232nd St Apt 3a Bronx NY 10466-4115 Ph: (914) 316-1914 |
| NPI Number | 1851977193 |
|---|---|
| Provider Enumeration Date | 03/18/2021 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851977193 | NPI | - | NPPES |
| 1346679198 | Other | NY | TIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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