Jacqueline Raffaele, Lcsw, Pc | |
82 Elberta Dr East Northport NY 11731-5707 | |
(516) 330-1186 | |
Not Available |
Full Name | Jacqueline Raffaele, Lcsw, Pc |
---|---|
Speciality | Social Worker - Clinical |
Location | 82 Elberta Dr, East Northport, New York |
Authorized Official Name and Position | Jacqueline Raffaele (LCSW) |
Authorized Official Contact | 5163301186 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jacqueline Raffaele, Lcsw, Pc 82 Elberta Dr East Northport NY 11731-5707 Ph: (516) 330-1186 | Jacqueline Raffaele, Lcsw, Pc 82 Elberta Dr East Northport NY 11731-5707 Ph: (516) 330-1186 |
NPI Number | 1104663939 |
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Provider Enumeration Date | 07/10/2024 |
Last Update Date | 07/10/2024 |
Certification Date | 07/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104663939 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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