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Provider Information for 1124325097


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ALLISON PALAZZO LCSW


Sex: Female

NPI: 1124325097
Last Updated: 2023-01-13
Certification Date: 2023-01-13

Details

NameValue
NPI1124325097
Enumeration Date2011-02-11
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 37 JOHN ST
AMITYVILLE, NY 11701-2930
United States

Phone: 631-424-2900 | Fax:631-598-5716
 
Primary Practice Address 37 JOHN ST
AMITYVILLE, NY 11701-2930
United States

Phone: 631-424-2900 | Fax:631-598-5716
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 104100000X - Social Worker NY071584