Individual
AMY GIRONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 BUNNY LN, EAST SETAUKET, NY 11733-3520
(516) 459-4534
Mailing address
21 BUNNY LN, EAST SETAUKET, NY 11733-3520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
056682
NY
Other
Enumeration date
08/21/2011
Last updated
08/21/2011
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