Individual
MISS ANDREA M DIMATTEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CASAC
Contact information
Practice address
243 PARK AVE, HUNTINGTON, NY 11743-2709
(631) 271-3591
(631) 271-5497
Mailing address
243 PARK AVE, HUNTINGTON, NY 11743-2709
(631) 271-3591
(631) 271-5497
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21963
NY
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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