Individual
COLLEEN SUSAN BIAVATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
42 KOSUGA LN, PINE ISLAND, NY 10969-1705
(845) 649-7867
Mailing address
42 KOSUGA LN, PINE ISLAND, NY 10969-1705
(845) 649-7867
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068118
NY
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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