Individual
MR. ANTHONY CARACCIOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
408 MAIN STREET SOUTH, CENTER MORICHES, NY 11934-1320
(631) 874-0185
Mailing address
40 BELLROSE RD, SOUND BEACH, NY 11789-1320
(631) 897-0770
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
071760
NY
Other
Enumeration date
01/28/2016
Last updated
08/20/2016
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