Individual
ANONA M KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
487 S BROADWAY, YONKERS, NY 10705-3269
(914) 423-4433
Mailing address
580 WHITE PLAINS RD STE 510, TARRYTOWN, NY 10591-5152
(914) 345-5900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
082019-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00355940
AGENCY MEDICAID #
NY
01
—
1285628552
AGENCY NPI #
NY
01
—
WVE061
AGENCY MEDICARE #
NY
Enumeration date
10/07/2009
Last updated
05/03/2021
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