Individual
ANDREA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
124 HARBOR S, AMITYVILLE, NY 11701-3824
(516) 983-6867
Mailing address
88 E SHORE DR, MASSAPEQUA, NY 11758-6714
(516) 983-6867
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
059273-1
NY
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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