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Organization
SERENITY ZONE LCSW PLLC
Active
Organization
SERENITY ZONE LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF CORNATZOR CSMC (SECRETARY)
(516) 432-1790
Entity
Organization
Contact information
Practice address
4025 AUSTIN BLVD, ISLAND PARK, NY 11558-1221
(516) 432-1790
(516) 432-0760
Mailing address
4025 AUSTIN BLVD, ISLAND PARK, NY 11558-1221
(516) 432-1790
(516) 432-0760
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
074680-1
NY
Other
Enumeration date
05/02/2013
Last updated
06/20/2016
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