Iesha Whitaker's National Provider Identifier (NPI) Details
Iesha Whitaker, LMSW
NPI: 1639437551
Enumeration Date: 2012-04-28
Last updated: 2012-04-28
Sole Proprietor: NO
Status: active
Postal Address: 1600 CENTRAL AVE, FLOOR 1, FAR ROCKAWAY, NY
Phone: 718-471-6818
Primary Practice Address: 1600 CENTRAL AVE, FLOOR 1, FAR ROCKAWAY, NY
Practice's phone: 718-471-6818