Individual
BIDANIA CRISCUOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
133 PRESIDENT ST, SOUTH HEMPSTEAD, NY 11550-4718
(646) 651-2559
Mailing address
PO BOX 591, AMITYVILLE, NY 11701-0591
(646) 651-2559
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
109510
NY
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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