Individual
MS. ALLYAN WATSON RIVERA ORSINI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW RBCD
Contact information
Practice address
17 FORDHAM RD, WEST BABYLON, NY 11704-5803
(631) 321-7011
Mailing address
45 INLET DR, LINDENHURST, NY 11757-6804
(631) 957-0788
(631) 957-0788
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
R0414081
NY
1041C0700X
Clinical Social Worker
R0414081
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
537688
VALUE OPTIONS
NY
01
—
R041408
VYTRA
NY
Enumeration date
10/27/2005
Last updated
09/11/2025
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