Individual
AARON VITO BAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, CPRP
Contact information
Practice address
939 JOHNSON AVE, RONKONKOMA, NY 11779
(631) 471-7242
Mailing address
1380 ROANOKE AVE STE 100, RIVERHEAD, NY 11901-2035
(631) 672-3566
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
103641-1
NY
Other
Enumeration date
05/21/2018
Last updated
05/22/2018
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