Individual
MS. BRIDGET VAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1444 5TH AVENUE, BAY SHORE, NY 11706
(631) 650-0115
Mailing address
394A LENOX ROAD, HUNTINGTON STATION, NY 11746
(631) 813-9403
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106554-01
NY
2255A2300X
Athletic Trainer
106554-01
NY
Other
Enumeration date
08/27/2019
Last updated
10/18/2019
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