Individual
MS. CELESTE GNECO-VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWR
Contact information
Practice address
700 OSBORNE AVENUE, RIVERHEAD CENTRAL SCHOOL DISTRICT, RIVERHEAD, NY 11901
(631) 369-6701
Mailing address
700 OSBORNE AVENUE, RIVERHEAD SCHOOL DISTRICK, RIVERHEAD, NY 11901
(631) 369-6701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
31731
NY
1041S0200X
School Social Worker
Primary
31731
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N2312-1
EMPIRE BLUE CROSS BLUE SHIELD
NY
Enumeration date
11/02/2010
Last updated
11/02/2010
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