| NPI | 1801471685 |
|---|---|
| Former Legal Business Name | MICHAEL MONDORO, LCSW, PC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MONDORO Founding Director 917-830-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-03-13 |
| Last Update Date | 2021-11-15 |