Individual
ANTHONY FREDERICK VECCHIARELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
208 ROANOKE AVE, RIVERHEAD, NY 11901-2706
(631) 369-0104
Mailing address
435 MICHIGAN ST, RONKONKOMA, NY 11779-5205
(631) 336-8876
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105018-1
NY
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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