Individual
MS. AGNES MAGDALENA AMMIRATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
201 DIXON AVE, AMITYVILLE, NY 11701-2832
(631) 782-6536
(631) 842-7977
Mailing address
201 DIXON AVE, AMITYVILLE, NY 11701-2832
(631) 782-6536
(631) 842-7977
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
080768
NY
Other
Enumeration date
02/19/2010
Last updated
02/23/2010
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