Individual
MS. ANNA PATRICIA DEROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
354 VETERANS MEMORIAL HWY STE 5, COMMACK, NY 11725-4331
(631) 600-3216
Mailing address
354 VETERANS MEMORIAL HWY STE 5, COMMACK, NY 11725-4331
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
122689-01
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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