Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 005838 | NY |
NPI | 1003263906 |
---|---|
Provider Name | Edlira Daljani |
First Address | Astoria, NY 11102-3425 |
Second Address | Astoria, NY 11102-3425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2016 |
Last Update Date | 20/05/2016 |