Safiya Amonette

Individual provider Active NPI Professional Counselor · New York, NY

NPI 1134526452 · NPPES record last updated Dec 2, 2014

Key facts

NPI
1134526452
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
508 W 139TH St
Apt 24
New York, NY 10031-7714
Phone
(720) 341-2758
NPI assigned
Dec 2, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Yes

Addresses

Primary practice location

508 W 139TH St
Apt 24
New York, NY 10031-7714

Mailing address

508 W 139TH St
Apt 24
New York, NY 10031-7714
Phone (720) 341-2758

Other providers in New York, NY

All providers in New York, NY · Professional Counselor in New York

Sources for this page

Verify at the official NPI Registry.