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Organization
MATTHEW DANIEL RAFFAELE LCSW PC
Active
Organization
MATTHEW DANIEL RAFFAELE LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW RAFFAELE LCSW (PRESIDENT)
(516) 993-3688
Entity
Organization
Contact information
Practice address
170 LITTLE EAST NECK RD, SUITE 2, WEST BABYLON, NY 11704-7742
(516) 993-3688
Mailing address
69 ALICE RD, WEST ISLIP, NY 11795-2903
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
080661
NY
Other
Enumeration date
10/02/2013
Last updated
10/11/2015
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