Individual
AMANDA YANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
285 E MAIN ST STE LL5, SMITHTOWN, NY 11787-2980
(631) 724-0600
(631) 724-0606
Mailing address
31 CASEY LN, MOUNT SINAI, NY 11766-2352
(516) 455-9541
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
125542
NY
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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