Individual
ANNETTE KAE PATELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
156 5TH AVE, SUITE 900, NEW YORK, NY 10010-7002
(212) 353-0552
Mailing address
280 PARK AVE S APT 10D, NEW YORK, NY 10010-6129
(212) 353-0552
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RO43513-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RO43513-1
LICENSE NUMBER
NY
Enumeration date
02/05/2007
Last updated
12/23/2010
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