Individual
CAROL EASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 CLARENDON RD, UNIONDALE, NY 11553-2106
(516) 485-4060
Mailing address
520 CLARENDON RD, UNIONDALE, NY 11553-2106
(516) 643-8775
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
092388
NY
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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