Provider Information for 1205434537
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Ms. KARISHMA DEVI SAMAROO CASAC Masters, LMHC
Sex: Female
NPI: 1205434537
Last Updated: 2023-12-01
Certification Date: 2023-12-01
Certification Date: 2023-12-01
Details
Name | Value | ||||||||||||||
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NPI | 1205434537 | ||||||||||||||
Enumeration Date | 2020-10-09 | ||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||
Sole Proprietor | NO | ||||||||||||||
Status | Active | ||||||||||||||
Mailing Address | 2024 WILLIAMSBRIDGE RD STE 3 BRONX, NY 10461-1631 United States Phone: 646-455-3693 | Fax: | ||||||||||||||
Primary Practice Address | 2024 WILLIAMSBRIDGE RD STE 3 BRONX, NY 10461-1631 United States Phone: 917-992-1569 | Fax: | ||||||||||||||
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