Individual
MS. ANGELA F DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
35 LONGWOOD RD, MIDDLE ISLAND, NY 11953-2045
(631) 924-0008
Mailing address
42 HOLLY LN, SHIRLEY, NY 11967-2471
(631) 965-8033
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
059935
NY
1041C0700X
Clinical Social Worker
Primary
088708
NY
Other
Enumeration date
05/16/2007
Last updated
04/16/2020
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