Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | ||
N | 225C00000X | Rehabilitation Counselor |
NPI | 1225597453 |
---|---|
Provider Name | Morris Anthony Sarju |
First Address | New York, NY 10018-9537 |
Second Address | New York, NY 10018-9537 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2019 |
Last Update Date | 14/07/2021 |