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Individual

MR. COLIN HENRY YACCARINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
58 KNOLLWOOD RD, HUNTINGTON, NY 11743-1551
(631) 335-3315
Mailing address
58 KNOLLWOOD RD, HUNTINGTON, NY 11743-1551
(631) 335-3315

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
118900
NY

Other

Enumeration date
10/30/2023
Last updated
10/30/2023
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