Individual
COLLEEN ANN ITZKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
689 E JERICHO TPKE, HUNTINGTON STATION, NY 11746-7501
(631) 854-4400
Mailing address
130 1ST ST, HOLBROOK, NY 11741-3202
(631) 252-3153
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108846-01
NY
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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