NPI 1003203340

Maryann Larosa,lcsw/R

Organisation Point of Service Holbrook, NY

Practice location

Address: 233 Union Ave Suite 202, Holbrook, NY 11741-1820
Phone: (631) 737-2727
Fax: (631) 585-8591

Authorised official

Name: Maryann La Rosa
Title: Social Worker
Phone: (631) 737-2727

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 050562 (NY)

Other Point of Service providers in New York →

Registry record

NPI: 1003203340
Entity type: Organization
NPI issued: 24 Apr 2015
Record last updated: 24 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.