Individual
MRS. ALYSE FREDA-COLON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
410 E MAIN ST, CENTERPORT, NY 11721-1541
(516) 635-4848
Mailing address
15 WOODRUFF CT, HUNTINGTON, NY 11743-2355
(631) 271-0712
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R048909-1
NY
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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