Individual
CARLE B MAIZNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
645 COMMACK RD, SUITE #1, COMMACK, NY 11725-5401
(631) 475-4542
(631) 475-5470
Mailing address
21 ARCADIA DR, DIX HILLS, NY 11746-6935
(631) 475-4542
(631) 475-5470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R031122-1
NY
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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