Individual
MR. ANTHONY JOSEPH CANONICO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1 PARK PL STE 200, PEEKSKILL, NY 10566-3891
(914) 761-0600
(914) 761-5367
Mailing address
845 N BROADWAY, WHITE PLAINS, NY 10603-2427
(914) 761-0600
(914) 761-5367
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
095781
NY
Other
Enumeration date
02/10/2014
Last updated
10/18/2023
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