Individual
MR. ANGEL RILEY MCCARRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
7555 MAIN RD, MATTITUCK, NY 11952-1516
(631) 298-8642
Mailing address
353 COLLINGTON DR, RONKONKOMA, NY 11779-4914
(631) 827-5946
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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