Most Relevant Information
Provider Data
| NPI Number: | 1003224973 |
| Provider Name: | JEANINE MICHELE DELGADO LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 092749 |
Most Important Dates
| Enumeration Date: | 07/23/2014 |
| Last Updated: | 10/06/2022 |
Provider Practice Location
79 MIDDLEVILLE RD
NORTHPORT
NY
117682200
Practice Location Phone/Fax
| Phone: | 6312614400 |
| Fax: |
Provider Mailing Location
79 MIDDLEVILLE RD
NORTHPORT
NY
117682200
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |