| Dorine D'angelo, Lcsw | |
|
631 Montauk Hwy Ste 6 West Islip NY 11795-4400 | |
| (631) 974-0858 | |
| Not Available |
| Full Name | Dorine D'angelo, Lcsw |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 631 Montauk Hwy Ste 6, West Islip, New York |
| Authorized Official Name and Position | Dorine D'angelo (OWNER) |
| Authorized Official Contact | 6319740858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dorine D'angelo, Lcsw 631 Montauk Hwy Ste 6 West Islip NY 11795-4400 Ph: (631) 974-0858 | Dorine D'angelo, Lcsw 631 Montauk Hwy Ste 6 West Islip NY 11795-4400 Ph: (631) 974-0858 |
| NPI Number | 1881412872 |
|---|---|
| Provider Enumeration Date | 09/30/2024 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881412872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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