Jason Diana Lcsw

NPI #1942807276 in Brookville, New York

Provider Information

NPI Number: 1942807276
Entity Type: Organization
Organization Name: Jason Diana Lcsw
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 9, 2020
Last Updated: Oct 30, 2024

Practice Location

Address: 189 WHEATLEY ROAD
City: Brookville
State: New York
ZIP Code: 11545
Phone: (516) 569-6600

Authorized Official

Name: MR. JASON STEVEN DIANA, LCSW
Title: SOCIAL WORKER
Phone: (516) 557-7510

Specialties & Taxonomy Codes

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

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