Individual
BETHANY A. IMBRIALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
193 E MAIN ST, BABYLON, NY 11702-3509
(516) 680-6397
Mailing address
90 CONKLIN ST, FARMINGDALE, NY 11735-2504
(516) 680-6397
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
088008
NY
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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