THEODORE L HERNITCHE

COMMACK, NY
NPI1083724124
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R038418-1)
Enumeration Date2006-08-30
Last Update Date2017-09-11
Business Address
Mr. THEODORE L HERNITCHE LCSW
368 VETERANS MEMORIAL HWY
COMMACK, NY 11725-4322
Phone number: 631-863-2499
Mailing Address
Mr. THEODORE L HERNITCHE LCSW
180 E MAIN ST STE 202
SMITHTOWN, NY 11787-2800
Phone number: 631-863-2499