Most Relevant Information
Provider Data
NPI Number: | 1003395260 |
Provider Name: | HAYLEY ALEXANDRA MENA LMSW |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | 094377-01 |
Most Important Dates
Enumeration Date: | 08/08/2018 |
Last Updated: | 07/24/2023 |
Provider Practice Location
101 NICOLLS RD
STONY BROOK
NY
117940001
Practice Location Phone/Fax
Phone: | 5167614107 |
Fax: |
Provider Mailing Location
33 BOLAN DR
HUNTINGTON STATION
NY
117462841
Provider Mailing Phone/Fax
Phone: | 6317471044 |
Fax: |