L. Brian Cistola Lcsw-R PC

NPI #1417248576 in Nanuet, New York

Provider Information

NPI Number: 1417248576
Entity Type: Organization
Organization Name: L. Brian Cistola Lcsw-R PC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Apr 25, 2011
Last Updated: Apr 25, 2011

Practice Location

Address: 20 OLD NYACK TPKE STE 306
City: Nanuet
State: New York
ZIP Code: 10954-2530
Phone: (845) 353-1433

Authorized Official

Name: DR. LAWRENCE CISTOLA
Title: SOLE PROPRIETOR
Phone: (845) 353-1433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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