DIMITRY DAVID

BAY SHORE, NY
NPI1912720137
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  123878)
Enumeration Date2024-11-05
Last Update Date2024-11-05
Business Address
Mr. DIMITRY DAVID LMSW
1441 MANATUCK BLVD
BAY SHORE, NY 11706-4919
Phone number: 516-503-3868
Mailing Address
Mr. DIMITRY DAVID LMSW
1441 MANATUCK BLVD
BAY SHORE, NY 11706-4919
Phone number: 516-503-3868