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Organization
JASON DIANA LCSW
Active
Organization
JASON DIANA LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON STEVEN DIANA LCSW (SOCIAL WORKER)
(516) 557-7510
Entity
Organization
Contact information
Practice address
189 WHEATLEY ROAD, BROOKVILLE, NY 11545
(516) 569-6600
Mailing address
1072 JOHNSTON AVE, WANTAGH, NY 11793
(516) 557-7510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
10/30/2024
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