Individual
MR. JOHN J MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W., C.A.S.A.C.
Contact information
Practice address
4 ROBERT LENNOX DR, NORTHPORT, NY 11768-1035
(631) 662-2747
Mailing address
4 ROBERT LENNOX DR, NORTHPORT, NY 11768-1035
(631) 662-2747
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7654
NY
1041C0700X
Clinical Social Worker
R030324-1
NY
Other
Enumeration date
05/24/2007
Last updated
09/11/2025
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