Most Relevant Information
Provider Data
| NPI Number: | 1003266107 |
| Provider Name: | KRISTEN NEARY LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 087974-1 |
Most Important Dates
| Enumeration Date: | 06/20/2016 |
| Last Updated: | 06/20/2016 |
Provider Practice Location
126 S COLEMAN RD
CENTEREACH
NY
117204410
Practice Location Phone/Fax
| Phone: | 6317660651 |
| Fax: |
Provider Mailing Location
126 S COLEMAN RD
CENTEREACH
NY
117204410
Provider Mailing Phone/Fax
| Phone: | 6317660651 |
| Fax: |