Provider Demographics
NPI:1902071863
Name:OSIPYAN, VERA
Entity Type:Individual
Prefix:MS
First Name:VERA
Middle Name:
Last Name:OSIPYAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 E 3RD ST
Mailing Address - Street 2:APT 19
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-9243
Mailing Address - Country:US
Mailing Address - Phone:718-730-3813
Mailing Address - Fax:
Practice Address - Street 1:3063 38TH ST
Practice Address - Street 2:STE B1
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-4173
Practice Address - Country:US
Practice Address - Phone:718-730-3813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker