Individual
MARIA C MICELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3359 OLD JERUSALEM ROAD, LEVITTOWN, NY 11756
(516) 520-8470
Mailing address
150 ABBEY LN, LEVITTOWN, NY 11756-4042
(516) 520-8470
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
038782
NY
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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