Individual
ATHENA FARANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
176 TORONTO AVE, MASSAPEQUA, NY 11758-3943
(516) 972-2776
Mailing address
PO BOX 1245, MASSAPEQUA, NY 11758-0905
(516) 308-1620
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
103524-1
NY
1041C0700X
Clinical Social Worker
Primary
094721-01
NY
Other
Enumeration date
06/11/2018
Last updated
07/31/2023
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