institution
Jason Diana Lmsw
Mental Health Clinic/Center (Including Community Mental Health Center) in Valley Stream, New York
NPI 1942807276

Jason Diana Lmsw is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Wantagh, NY and is specialized in Mental Health (Including Community Mental Health Center). Jason Diana Lmsw practices in Valley Stream, NY. The NPI Number for Jason Diana Lmsw is 1942807276 and holds a License No. (New York).

The current practice location address for Jason Diana Lmsw is 50 West Hawthorne Ave 2Nd Floor, Valley Stream, NY and can be reached out via phone at 516-569-6600. You can also correspond with Jason Diana Lmsw through the mailing address at 1072 JOHNSTON AVE, WANTAGH, NY - 11793 (mailing address contact number: 516-557-7510).

Location: 50 West Hawthorne Ave 2Nd Floor, Valley Stream, NY, 11793
institution
Provider Profile Details
NPI Number
1942807276
Provider Name
Jason Diana Lmsw
Credential
Provider Entity Type
Organization
Address
50 West Hawthorne Ave 2Nd Floor, Valley Stream, NY, 11793
Phone Number
516-569-6600
Fax Number
Provider Enumeration Date
10/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
50 West Hawthorne Ave 2Nd Floor
City
State
Zip
11580
Phone Number
516-569-6600
Fax Number
person
Provider Business Mailing Address Details
Address
1072 Johnston Ave
City
State
Zip
11793
Phone Number
516-557-7510
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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