Individual
MR. ANTHONY J. PABON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
212 FAIR ST, KINGSTON, NY 12401
(845) 246-8955
Mailing address
212 FAIR ST, KINGSTON, NY 12401
(845) 246-8955
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PRO17057-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01774318
—
NY
Enumeration date
01/02/2007
Last updated
12/17/2008
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