Individual
MR. CORIE LEON CREWS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1444 FIFTH AVENUE, BAY SHORE, NY 11706
(631) 647-2048
(631) 647-2057
Mailing address
PO BOX 753, FARMINGVILLE, NY 11738-0753
(631) 364-9560
(631) 772-4620
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/05/2010
Last updated
04/26/2016
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