Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker | 088033 | NY |
Y | 1041C0700X | Clinical Social Worker | 084501 | NY |
NPI | 1003153263 |
---|---|
Provider Name | Maria Cristina Liguori |
First Address | Deer Park, NY 11729-5750 |
Second Address | Deer Park, NY 11729-5750 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2013 |
Last Update Date | 05/12/2018 |