Individual
MRS. ALYSSA C CERVINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
145 HIGBIE LN, WEST ISLIP, NY 11795
(631) 572-4627
Mailing address
145 HIGBIE LN, WEST ISLIP, NY 11795-3236
(631) 572-4627
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
088001
NY
Other
Enumeration date
10/02/2013
Last updated
03/26/2020
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