Individual
MR. ANTHONY SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
667 STONELEIGH AVE STE 202, CARMEL, NY 10512-2455
(845) 279-5908
Mailing address
4E ADRIAN CT, CORTLANDT MANOR, NY 10567-4145
(917) 682-6339
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
075148
NY
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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