ALYZA D CONWAY

PORT JEFFERSON STATION, NY
NPI1730747320
Former NameALYZA D BAILEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  094350)
Additional Taxonomies104100000X Social Worker
(Licence: NY  096940)
Enumeration Date2019-05-30
Last Update Date2022-11-30
Business Address
ALYZA D CONWAY LCSW
1500 ROUTE 112 BLDG 4 SUITE101
PORT JEFFERSON STATION, NY 11776
Phone number: 631-574-8354
Mailing Address
ALYZA D CONWAY LCSW
1 RESEARCH RD
RIDGE, NY 11961-2701
Phone number: 631-751-3000