Individual
MR. CARL BAGNINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1148 PORT WASHINGTON BLVD, PORT WASHINGTON, NY 11050-3025
(516) 944-8927
(516) 883-3473
Mailing address
100 OAKLAND AVE, PORT WASHINGTON, NY 11050-1842
(516) 944-8927
(516) 883-3473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R011808
NY
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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