Individual
MRS. CYNTHIA T VARDARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1555 SUNRISE HWY, BAY SHORE, NY 11706-6027
(631) 666-1615
Mailing address
557 ALWICK AVE, WEST ISLIP, NY 11795-4201
(516) 359-2095
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
070040
NY
Other
Enumeration date
10/23/2010
Last updated
10/23/2010
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