Individual
CARMEN CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
520 PROSPECT AVE, SUITE 2, CENTRAL ISLIP, NY 11722-1917
(631) 617-5300
Mailing address
520 PROSPECT AVE, SUITE 2, CENTRAL ISLIP, NY 11722-1917
(631) 617-5300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
074439-1
NY
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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