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Organization
GINA BODNAR LCSW P.C
Active
Organization
GINA BODNAR LCSW P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA GRECO LCSW (LICENSED CLINICAL SOCIAL WORKER)
(631) 487-2633
Entity
Organization
Contact information
Practice address
811 W JERICHO TPKE STE 203E, SMITHTOWN, NY 11787-3220
(631) 487-2633
Mailing address
17 CLIFTWOOD PL, KINGS PARK, NY 11754-4010
(631) 487-4099
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
01/01/2024
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