Individual
ANDERS P IACONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LMSW
Contact information
Practice address
10 COLVIN AVE STE 102, ALBANY, NY 12206-1242
(518) 801-2521
Mailing address
15 PEYSTER ST APT 2, ALBANY, NY 12208-2527
(845) 514-4150
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
125122-01
NY
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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