Terri Anne Coyle Famularo, LCSW Valid NPI
Individual provider · Clinical Social Worker · Far Rockaway, NY
- NPI
- 1033295498
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- R054801-1 (NY)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2006-10-28
- Last updated
- 2018-01-05
Practice location
1908 Brookhaven Ave
Far Rockaway, NY 11691-3626
(718) 869-8400