| Aff Psychotherapy | |
|
1953 Richmond Ter Staten Island NY 10302-1201 | |
| (347) 320-6420 | |
| (347) 413-8836 |
| Full Name | Aff Psychotherapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1953 Richmond Ter, Staten Island, New York |
| Authorized Official Name and Position | Delsa Fauconier (DIRECTOR) |
| Authorized Official Contact | 3477714128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aff Psychotherapy 1953 Richmond Ter Staten Island NY 10302-1201 Ph: (347) 320-6420 | Aff Psychotherapy 1953 Richmond Ter Staten Island NY 10302-1201 Ph: (347) 320-6420 |
| NPI Number | 1043554769 |
|---|---|
| Provider Enumeration Date | 11/19/2012 |
| Last Update Date | 11/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043554769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 075416 (New York) | Primary |
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