Individual
MRS. BLANCA R MOSTACERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
17 W MERRICK RD, FREEPORT, NY 11520-3826
(516) 868-3030
(516) 868-3374
Mailing address
2 DONALD CT, FARMINGDALE, NY 11735-3214
(516) 293-3119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
069252-1
NY
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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