Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | RO584741 | NY |
N | 103T00000X | Psychologist | RO584741 | NY |
N | 1041C0700X | Clinical Social Worker | RO584741 | NY |
NPI | 1013011758 |
---|---|
Provider Name | Mrs. Asuncion Neri-Candelaria |
First Address | New York, NY 10009 |
Second Address | New York, NY 10002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2006 |
Last Update Date | 08/07/2007 |