Individual
MRS. CONSTANTINA ALEXANDER MANETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
20 N NASSAU ST, BETHPAGE, NY 11714-3516
(516) 578-8190
Mailing address
20 N NASSAU ST, BETHPAGE, NY 11714-3516
(516) 578-8190
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
087901
NY
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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