DR. Agnelo B Dias, ED. D., LCSW

NPI #1013139716 in Merrick, New York

Provider Information

NPI Number: 1013139716
Entity Type: Individual
Name: DR. Agnelo B Dias, ED. D., LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: ED. D., LCSW
Enumeration Date: May 3, 2007
Last Updated: Nov 16, 2012

Practice Location

Address: 2174 HEWLETT AVE
Address 2: SUITE 212
City: Merrick
State: New York
ZIP Code: 11566-3606
Phone: (516) 513-2678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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