Individual
MRS. BERNADETTE M DIANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2277 GRAND AVE, BALDWIN, NY 11510-3148
(516) 377-5400
Mailing address
1052 ARCHER PL, BALDWIN, NY 11510-3604
(516) 665-8548
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R054194-1
NY
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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