Individual
MRS. ANASTASIA DESPINA FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
501 FRANKLIN AVE STE 140, GARDEN CITY, NY 11530-5807
(516) 267-5536
Mailing address
3 TEAL LN, SMITHTOWN, NY 11787-3318
(516) 232-7231
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
057504
NY
1041C0700X
Clinical Social Worker
Primary
083088
NY
Other
Enumeration date
03/21/2008
Last updated
10/06/2023
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