Individual
ANTOINETTE SARA DEGRUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
55 W AMES CT, PLAINVIEW, NY 11803-2304
(516) 822-6111
(516) 938-7097
Mailing address
55 W AMES CT, PLAINVIEW, NY 11803-2304
(516) 822-6111
(516) 938-7097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
091458
NY
Other
Enumeration date
09/20/2017
Last updated
10/12/2023
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