IVY FIROUZTALE

DIX HILLS, NY
NPI1144620089
Former NameIVY CLOSKY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  078295-1)
Enumeration Date2014-08-28
Last Update Date2021-05-03
Business Address
IVY FIROUZTALE
2 PUDDING LN
DIX HILLS, NY 11746-6118
Phone number: 631-432-8424
Mailing Address
IVY FIROUZTALE
2 PUDDING LN
DIX HILLS, NY 11746-6118
Phone number: 631-432-8424
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