Provider Demographics
NPI:1841445731
Name:NADBOY, ANNETTE BLUTH (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:BLUTH
Last Name:NADBOY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:753 WILDWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-3413
Mailing Address - Country:US
Mailing Address - Phone:516-481-0412
Mailing Address - Fax:516-505-1753
Practice Address - Street 1:753 WILDWOOD RD
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-3413
Practice Address - Country:US
Practice Address - Phone:516-481-0412
Practice Address - Fax:516-505-1753
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY075393-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical