Most Relevant Information
Provider Data
| NPI Number: | 1003061482 |
| Provider Name: | STEPHANIE ANN I VIVONA RAFANELLI LMSW, CSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 054120-1 |
Most Important Dates
| Enumeration Date: | 11/26/2008 |
| Last Updated: | 11/26/2008 |
Provider Practice Location
27 PILGRIM LN
WESTBURY
NY
115906216
Practice Location Phone/Fax
| Phone: | 5163128415 |
| Fax: |
Provider Mailing Location
27 PILGRIM LN
WESTBURY
NY
115906216
Provider Mailing Phone/Fax
| Phone: | 5163128415 |
| Fax: |