Organization
BETH VARDARO LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH VARDARO LCSW (PRESIDENT)
(516) 678-1796
Entity
Organization
Contact information
Practice address
341 LINKS DR E, OCEANSIDE, NY 11572-5624
(516) 678-1796
(516) 678-1796
Mailing address
341 LINKS DR E, OCEANSIDE, NY 11572-5624
(516) 678-1796
(516) 678-1796
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
R-052901-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02537864
—
NY
Enumeration date
12/08/2009
Last updated
12/08/2009
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