Most Relevant Information
Provider Data
| NPI Number: | 1003410119 |
| Provider Name: | JESSICA PILAR SATKUNASINGHAM LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 097089 |
Most Important Dates
| Enumeration Date: | 11/30/2020 |
| Last Updated: | 09/01/2024 |
Provider Practice Location
727 N BROADWAY STE B1
MASSAPEQUA
NY
117582348
Practice Location Phone/Fax
| Phone: | 8008715491 |
| Fax: |
Provider Mailing Location
625 IRVING PL
NORTH BALDWIN
NY
115102236
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |