Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 080053 | NY |
NPI | 1003183583 |
---|---|
Provider Name | Nilsa Pietri |
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 | 28/11/2011 |
Last Update Date | 28/11/2011 |