Individual
BETH SMITH GENOVESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
366 N BROADWAY UNIT PHW -1, JERICHO, NY 11753-2025
(516) 513-1284
Mailing address
143 ANCHORAGE DR, WEST ISLIP, NY 11795-5000
(631) 860-1280
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
099562
NY
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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