Organization
IASO INNOVATIVE RECOVERY CORPORATION
Active
Other names
Laura Colantuono
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA COLANTUONO PSY.D. (PRESIDENT)
(631) 897-6493
Entity
Organization
Contact information
Practice address
14 SENECA ST, EAST NORTHPORT, NY 11731-1039
(631) 897-6493
Mailing address
14 SENECA ST, EAST NORTHPORT, NY 11731-1039
(631) 897-6493
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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