Deborah Tarantino Lcsw Pllc | |
138 S 1st St Ste 115 Lindenhurst NY 11757-4930 | |
(631) 392-8470 | |
Not Available |
Full Name | Deborah Tarantino Lcsw Pllc |
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Speciality | Social Worker - Clinical |
Location | 138 S 1st St Ste 115, Lindenhurst, New York |
Authorized Official Name and Position | Deborah Anne Tarantino (OWNER) |
Authorized Official Contact | 6313928470 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Deborah Tarantino Lcsw Pllc 138 S 1st St Ste 115 Lindenhurst NY 11757-4930 Ph: (631) 392-8470 | Deborah Tarantino Lcsw Pllc 138 S 1st St Ste 115 Lindenhurst NY 11757-4930 Ph: (631) 392-8470 |
NPI Number | 1316450372 |
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Provider Enumeration Date | 11/13/2017 |
Last Update Date | 11/13/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316450372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 083736 (New York) | Primary |
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