Imtisal Tabbassum

NPI #1023609682 in Rego Park, New York

Provider Information

NPI Number: 1023609682
Entity Type: Individual
Name: Imtisal Tabbassum
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Jan 27, 2021
Last Updated: Mar 24, 2021

Practice Location

Address: 98120 QUEENS BLVD STE 1C
City: Rego Park
State: New York
ZIP Code: 11374-4414
Phone: (718) 830-0246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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