Individual
MISS ANTOINETTE BONAFEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 BROADWAY RM 905, NEW YORK, NY 10006-2001
(917) 960-8737
Mailing address
111 BROADWAY RM 905, NEW YORK, NY 10006-2001
(917) 960-8737
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
108950
NY
1041C0700X
Clinical Social Worker
Primary
098314
NY
Other
Enumeration date
10/09/2020
Last updated
09/04/2024
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