Individual
ALYSSA SARAH ATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 MAIN ST, PORT JEFFERSON, NY 11777-2278
(631) 757-5279
Mailing address
PO BOX 433, PORT JEFFERSON, NY 11777-0433
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
107791
NY
1041C0700X
Clinical Social Worker
095044-01
NY
Other
Enumeration date
12/05/2020
Last updated
03/05/2026
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