Individual
ANDREW TRAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
405 W BROADWAY, 1C, LONG BEACH, NY 11561-3162
(516) 375-0435
Mailing address
405 W BROADWAY, 1C, LONG BEACH, NY 11561-3162
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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