Individual
ALYSSA RENEE VAN YAHRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
285 MIDDLE COUNTRY RD, SMITHTOWN, NY 11787-2978
(631) 724-0600
(631) 724-0606
Mailing address
8 GEDNEY AVE, SMITHTOWN, NY 11787-4809
(631) 848-4828
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
098789
NY
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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