Individual
CAROLE RUTKOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
220 PETTIT AVE, BELLMORE, NY 11710-3629
(516) 382-3733
Mailing address
2289 CROYDON DR, BALDWIN, NY 11510-3046
(516) 382-3733
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33623
NY
Other
Enumeration date
07/13/2007
Last updated
09/15/2008
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