Provider Demographics
NPI:1043532443
Name:MARIANO-CONCEICAO, ANA MARIA DA SILVA (SOCIAL WORKER)
Entity Type:Individual
Prefix:MS
First Name:ANA MARIA
Middle Name:DA SILVA
Last Name:MARIANO-CONCEICAO
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13055 228TH ST
Mailing Address - Street 2:
Mailing Address - City:LAURELTON
Mailing Address - State:NY
Mailing Address - Zip Code:11413-1742
Mailing Address - Country:US
Mailing Address - Phone:718-341-9066
Mailing Address - Fax:718-341-9066
Practice Address - Street 1:13055 228TH ST
Practice Address - Street 2:
Practice Address - City:LAURELTON
Practice Address - State:NY
Practice Address - Zip Code:11413-1742
Practice Address - Country:US
Practice Address - Phone:718-341-9066
Practice Address - Fax:718-341-9066
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0530061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical