Provider Demographics
NPI:1790562155
Name:JIANG, AITONG (LMSW)
Entity Type:Individual
Prefix:
First Name:AITONG
Middle Name:
Last Name:JIANG
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 COMMUNITY DR STE 400
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3818
Mailing Address - Country:US
Mailing Address - Phone:516-524-7132
Mailing Address - Fax:516-876-4101
Practice Address - Street 1:600 COMMUNITY DR STE 400
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3818
Practice Address - Country:US
Practice Address - Phone:516-524-7132
Practice Address - Fax:516-876-4101
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker