Individual
CARRIE TAIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
260 W MAIN ST, SUITE 8, BAY SHORE, NY 11706-8322
(631) 647-9009
Mailing address
5 COLERIDGE PL, GREENLAWN, NY 11740-2601
(631) 239-5447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
073253-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02135326
—
NY
Enumeration date
06/07/2006
Last updated
09/19/2024
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