Provider Information for 1477856102
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Ms. NATALIE MARIE LLERAS L.C.S.W
Sex: Female
NPI: 1477856102
Last Updated: 2017-04-21
Certification Date:
Certification Date:
Details
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NPI | 1477856102 | ||||||||
Enumeration Date | 2010-12-20 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 3909 233RD ST DOUGLASTON, NY 11363-1543 United States Phone: 561-880-2847 | Fax: | ||||||||
Primary Practice Address | 1847 MOTT AVE FAR ROCKAWAY, NY 11691-4201 United States Phone: 516-880-2847 | Fax: | ||||||||
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