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NPI Code Detail

MEDICARE: YESSICA LIRIANO

MEDICARE:   YESSICA  LIRIANO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1053195388
Entity Type Code : Individual
Provider Name (Legal Business Name) : YESSICA LIRIANO
Provider Business Mailing Address
First Line : 1912 BARNES AVE APT 1
Second Line :
City : BRONX
State : NY
Zip : 10462-3271
Country : US
Telephone Number : 347-582-5014
Fax Number :
Provider Business Practice Location Address
First Line : 299 BROADWAY STE 905
Second Line :
City : NEW YORK
State : NY
Zip : 10007-1960
Country : US
Telephone Number : 917-873-1022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2023
Last Update Date : 08/18/2023

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Directions to “ YESSICA LIRIANO ” Practice Location

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