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Search › New York › 104100000X

Icaro Nogueira Soares, LMSW

NPI 1043862055 · on the registry since 2019 · sole proprietor

Practice

Address
57 Saint Marks Pl
New York, NY 10003
Phone
(212) 982-3470
Organisation at this address
Unitas
Unitas Medical Pc
Mind Rejuvenation Therapy
St. Mark'S Place Institute For Mental Health, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
77

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-07-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York