Individual
MRS. CLEMENTINA MARIA CARNAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
222 HARRISON AVE, ISLAND PARK, NY 11558-1310
(516) 897-1915
Mailing address
222 HARRISON AVENUE, ISLAND PARK, NY 11558
(516) 897-1915
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R0575431
NY
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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