Individual
MRS. CATHERINE BONTA-ROSKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
47 STEVEN PL, SMITHTOWN, NY 11787-5419
(631) 835-1570
(631) 737-4506
Mailing address
47 STEVEN PL, SMITHTOWN, NY 11787-5419
(631) 835-1570
(631) 737-4506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
075592
NY
171M00000X
Case Manager/Care Coordinator
Primary
1225177025
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225177025
NEW YORK STATE
NY
Enumeration date
02/06/2007
Last updated
08/03/2012
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