Individual
ANGELA MARIE FIOCCOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 STEWART AVE, BETHPAGE, NY 11714-1601
(516) 698-9080
Mailing address
350 VIOLET ST, MASSAPEQUA PARK, NY 11762-1154
(516) 398-3164
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P09495
NY
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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