Individual
SHANA GIORGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
401 MAIN ST, ISLIP, NY 11751-3560
(631) 224-5330
Mailing address
53 DEFOREST AVE, WEST ISLIP, NY 11795-4540
(631) 224-5330
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
059024-1
NY
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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