Individual
JONATHAN AFANADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 TRUBERG AVE, PATCHOGUE, NY 11772-1723
(631) 566-8090
Mailing address
118 TRUBERG AVE, PATCHOGUE, NY 11772-1723
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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