Lia Avellino
Social Worker, Clinical in New York, NY. Individual provider (NPI-1).
NPI number1427502012
StatusActive
Last updated in NPPESAug 11, 2016
Details
- NPI
- 1427502012
- Entity type
- Individual (NPI-1)
- Name
- Lia Avellino
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 11, 2016
- Last updated
- Aug 11, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 097985-1 | NY | Yes |
Practice location
601 W 150th StNew York, NY 10031-2449
Phone 646-707-3100
Mailing address
601 W 150th StNew York, NY 10031-2449
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