Most Relevant Information
Provider Data
| NPI Number: | 1003293184 |
| Provider Name: | MARIAN SHAFIR-LIDERGOT CASAC-T |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/28/2015 |
| Last Updated: | 04/29/2015 |
Provider Practice Location
2369 2ND AVE
NEW YORK
NY
100353108
Practice Location Phone/Fax
| Phone: | 2128762300 |
| Fax: |
Provider Mailing Location
2369 2ND AVE
NEW YORK
NY
100353108
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |