Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 1509844211 | NY |
NPI | 1063083194 |
---|---|
Provider Name | Nicole Strazza |
First Address | Purchase, NY 10577-2554 |
Second Address | Purchase, NY 10577-2554 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2021 |
Last Update Date | 09/07/2021 |