Individual
ANDREA ANTONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT-LP
Contact information
Practice address
152 CENTER LN, LEVITTOWN, NY 11756-1007
(516) 719-0313
Mailing address
69 SHEPHERD LN, LEVITTOWN, NY 11756-4120
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
NY
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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