Individual
MS. ANGELA AVITABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
47 HUMPHREY DRIVE, SYOSSET, NY 11791-4022
(516) 921-7171
(516) 496-4958
Mailing address
47 HUMPHREY DR, SYOSSET, NY 11791-4022
(516) 921-7171
(516) 496-4958
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
041557
NY
Other
Enumeration date
12/08/2008
Last updated
10/25/2024
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