Individual
MR. ANGEL LUIS MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
796H DREW ST, BROOKLYN, NY 11208-4704
(718) 235-3100
(718) 277-0822
Mailing address
903 PARK DR, WANTAGH, NY 11793-1151
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
071571
NY
Other
Enumeration date
03/04/2008
Last updated
03/05/2008
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