| NPI | 1194183673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNMARIE STAIANO Licensed Clinical Social Worker 631-807-7065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083996) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |