Individual
ANNA PALISI-BASTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4 ENDICOTT LN, COMMACK, NY 11725-4006
(631) 838-9151
Mailing address
4 ENDICOTT LN, COMMACK, NY 11725-4006
(631) 838-9151
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0733531
NY
Other
Enumeration date
01/30/2008
Last updated
09/19/2016
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