Individual
DANIEL WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 SYCAMORE AVE STE 39, BOHEMIA, NY 11716-1736
(631) 758-8290
Mailing address
367 ELM ST, WEST HEMPSTEAD, NY 11552-3224
(718) 502-0810
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P104469
NY
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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