Selina Sristienvong

NPI #1093377160 in Syosset, New York

Provider Information

NPI Number: 1093377160
Entity Type: Individual
Name: Selina Sristienvong
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Jun 28, 2019
Last Updated: Jun 28, 2019

Practice Location

Address: 6800 JERICHO TPKE STE 120W
City: Syosset
State: New York
ZIP Code: 11791-4445
Phone: (516) 393-5966

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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