Individual
JOANNA RONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 JEFFERSON ST, NESCONSET, NY 11767-2912
(631) 707-2595
Mailing address
24 JEFFERSON ST, NESCONSET, NY 11767-2912
(631) 707-2595
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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