Individual
ANTHONY CALABRESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
600 JOHNSON AVE STE C13, BOHEMIA, NY 11716-2674
(631) 250-5713
Mailing address
46 CAMPBELL ST, PATCHOGUE, NY 11772-3607
(631) 250-5713
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
091978
NY
1041C0700X
Clinical Social Worker
100903
NY
Other
Enumeration date
01/29/2019
Last updated
03/29/2022
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