Individual
ANGELO L D'ESPOSITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, SAP, CAMS-II
Contact information
Practice address
77 ROBINSON AVE, MEDFORD, NY 11763
(917) 921-4877
Mailing address
77 ROBINSON AVE, MEDFORD, NY 11763
(917) 921-4877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
088952
NY
1041C0700X
Clinical Social Worker
093855-1
NY
Other
Enumeration date
12/09/2014
Last updated
11/26/2019
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