Individual
ANGELYSE ABALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
161 E MAIN ST, SMITHTOWN, NY 11787-2879
(631) 360-7578
Mailing address
606 JOHNSON AVE STE 34, BOHEMIA, NY 11716-2689
(631) 525-7572
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
098471
NY
Other
Enumeration date
09/30/2019
Last updated
04/02/2021
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