Individual
MS. AMANDA SUSAN BOCCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 HARBOR HILL RD, ROSLYN, NY 11576-2230
(516) 801-5000
Mailing address
3106 MILL RD, RONKONKOMA, NY 11779-1408
(914) 261-1455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
085974-1
NY
Other
Enumeration date
10/04/2018
Last updated
09/07/2021
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