Individual
ANNA LOVISOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 GRAND AVE, MASSAPEQUA, NY 11758-4905
(516) 799-3203
(516) 799-3081
Mailing address
27 VISTA LN, LEVITTOWN, NY 11756-2608
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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