Individual
MS. DANIELLE GALINA BANTILESKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
249 BELLEROSE AVE, E NORTHPORT, NY 11731-1622
(516) 761-4930
Mailing address
249 BELLEROSE AVE, E NORTHPORT, NY 11731-1622
(516) 761-4930
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
075562
NY
174400000X
Specialist
—
—
Other
Enumeration date
12/10/2010
Last updated
07/14/2016
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