MS. Lana M. Ackaway, NYS LICENSED CLINICA

NPI #1275632150 in NY, New York

Provider Information

NPI Number: 1275632150
Entity Type: Individual
Name: MS. Lana M. Ackaway, NYS LICENSED CLINICA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: NYS LICENSED CLINICA
Enumeration Date: Sep 21, 2006
Last Updated: Jul 13, 2009

Practice Location

Address: 280 MADISON AVE
Address 2: SUITE 608
City: NY
State: New York
ZIP Code: 10016-2787
Phone: (917) 294-7883

Specialties & Taxonomy Codes

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

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