Individual
AUDREY FALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.R.
Contact information
Practice address
38 ALICE LN, SMITHTOWN, NY 11787-4275
(631) 724-7750
(631) 265-9226
Mailing address
38 ALICE LN, SMITHTOWN, NY 11787-4275
(631) 724-7750
(631) 265-9226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R027967-1
NY
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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