Organization
ALL ISLAND COUNSELING LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN MARIE RYAN I LCSW-R (PRESIDENT)
(631) 252-5740
Entity
Organization
Contact information
Practice address
127 GATELOT AVE, RONKONKOMA, NY 11779-2266
(631) 252-5740
(631) 743-9983
Mailing address
127 GATELOT AVE, RONKONKOMA, NY 11779-2266
(631) 252-5740
(631) 743-9983
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
077909
NY
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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