Individual
MS. AMY ELIZABETH MILLHEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1050 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1214
(516) 443-0363
Mailing address
PO BOX 1262, ROCKY POINT, NY 11778-1262
(516) 443-0363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
074191
NY
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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