Individual
AVA PASTORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1444 5TH AVE, BAY SHORE, NY 11706-4147
(631) 309-6833
Mailing address
1172A 5TH AVE, EAST NORTHPORT, NY 11731-2631
(631) 624-0545
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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