Individual
DR. AGNELO B DIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED. D., LCSW
Contact information
Practice address
2174 HEWLETT AVE, SUITE 212, MERRICK, NY 11566-3606
(516) 513-2678
(516) 414-1953
Mailing address
595 DOGWOOD AVE, WEST HEMPSTEAD, NY 11552-3128
(516) 414-1953
(516) 414-1953
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
73 079925
NY
Other
Enumeration date
05/03/2007
Last updated
11/16/2012
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