Organization
FREE MIND THERAPY NY LCSW PLLC
Active
Other names
maccorkindale
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN D MACCORKINDALE LCSW (MEMBER)
(516) 578-4430
Entity
Organization
Contact information
Practice address
20 NORTHFIELD DR, NORTHPORT, NY 11768-2413
(516) 578-4430
Mailing address
20 NORTHFIELD DR, NORTHPORT, NY 11768-2413
(516) 578-4430
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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