Most Relevant Information
Provider Data
| NPI Number: | 1003242629 |
| Provider Name: | KEVFOY LENROY FLETCHER MASTERS IN SOCIAL WK |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/16/2013 |
| Last Updated: | 09/16/2013 |
Provider Practice Location
11 ROUTE 111
SMITHTOWN
NY
117873739
Practice Location Phone/Fax
| Phone: | 6319208303 |
| Fax: | 6319208463 |
Provider Mailing Location
44 WELLINGTON RD
ELMONT
NY
110031414
Provider Mailing Phone/Fax
| Phone: | 5165743634 |
| Fax: |