Individual
MR. ANTHONY JOSEPH DAVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
13625 218TH ST, SPRINGFIELD GARDENS, NY 11413-2226
(718) 525-3414
Mailing address
13625 218TH ST, SPRINGFIELD GARDENS, NY 11413-2226
(718) 525-3414
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
076742
NY
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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