NPI 1710509799
Laridian Koinonia
Practice location
- Address
- 8115 5th Ave, Brooklyn, NY 11209-4102
- Phone
- (718) 218-4442
- Mailing address
- 3050 Perry Ave APT 3d, Bronx, NY 10467-4130
Authorised official
- Name
- Jason Calderon
- Title
- President
- Phone
- (505) 203-7689
Registered specialties (2)
Lodging Provider
Primary
Professional Counselor
Registry record
- NPI
- 1710509799
- Entity type
- Organization
- NPI issued
- 12 May 2020
- Record last updated
- 12 May 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.