Provider Information for 1518106848
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Ms. GERALDINE MARIE NISI LCSW
Sex: Female
NPI: 1518106848
Last Updated: 2020-11-24
Certification Date: 2020-11-24
Certification Date: 2020-11-24
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1518106848 | ||||||||
| Enumeration Date | 2009-02-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 54 SPLIT LEVEL RD RIDGEFIELD, CT 06877-5717 United States Phone: 914-954-4222 | Fax: | ||||||||
| Primary Practice Address | 199 MAIN ST STE 601 WHITE PLAINS, NY 10601-3286 United States Phone: 914-954-4222 | Fax: | ||||||||
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