Individual
ANITA AMOROSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1050 HALLOCK AVE, SUITE 3, PORT JEFFERSON STATION, NY 11776-1214
(631) 672-1617
Mailing address
1050 HALLOCK AVE, SUITE 3, PORT JEFFERSON STATION, NY 11776-1214
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000809
NY
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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