Most Relevant Information
Provider Data
| NPI Number: | 1003495243 |
| Provider Name: | STELLA MIZRAKHI LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 071470 |
Most Important Dates
| Enumeration Date: | 04/05/2021 |
| Last Updated: | 04/05/2021 |
Provider Practice Location
11045 QUEENS BLVD APT 314
FOREST HILLS
NY
113755502
Practice Location Phone/Fax
| Phone: | 3474394105 |
| Fax: |
Provider Mailing Location
11045 QUEENS BLVD APT 314
FOREST HILLS
NY
113755502
Provider Mailing Phone/Fax
| Phone: | 3474394105 |
| Fax: |