Organization
ANNE L BOFFOLI BENTZEN LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE L BOFFOLI BENTZEN LCSW PLLC LCSW (SOLE MANAGING MEMBER OF PLLC)
(845) 519-5415
Entity
Organization
Contact information
Practice address
153 DUKE DR, CARMEL, NY 10512-1598
(845) 519-5415
Mailing address
153 DUKE DR, CARMEL, NY 10512-1598
(845) 519-5415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R048664-1
NY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
R048664-1
NY
Other
Enumeration date
11/17/2010
Last updated
01/08/2017
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