Jusup Sianturi's National Provider Identifier (NPI) Details
Jusup Sianturi, MA, LMHC
NPI: 1851154488
Enumeration Date: 2024-02-05
Last updated: 2024-02-05
Sole Proprietor: YES
Status: active
Postal Address: 8615 BROADWAY APT 9C, ELMHURST, NY
Phone: 718-813-0042
Primary Practice Address: 8615 BROADWAY APT 9C, ELMHURST, NY
Practice's phone: