Organization
BETTINA YANEZ LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTINA YANEZ LCSW (PROVIDER)
(516) 351-1912
Entity
Organization
Contact information
Practice address
25 MEVILLE PARK RD SUITE 223, MELVILLE, NY 11747-1174
(516) 351-1912
Mailing address
PO BOX 944, FARMINGDALE, NY 11735-0852
(516) 351-1912
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081223
INDIVIDUAL
NY
Enumeration date
06/07/2019
Last updated
06/11/2019
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