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Individual

MR. ANTHONY M CRESCENZO SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
44 WESTCHESTER SQUARE, NEW YORK, NY 10461
(718) 409-1047
Mailing address
218 DALMENY ROAD, BRIARCLIFF MANOR, NY 10510
(914) 762-2794

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR0118891
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0093057
GHI
NY
Enumeration date
09/29/2006
Last updated
07/08/2007
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