Doctor Name: | KRISTA METRINKO |
NPI Number: | 1336454099 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 070641 |
Business Practice Address: | 415 Route 25a Second Floor, Suite 104 Rocky Point, NY - 117788845 |
Business Phone Number: | 6319243741 |
Business Fax Number: | |
Mailing Address: | 2 Wyandanch Trl, RIDGE |
State: | NY |
Postal Code: | 119612233 |
Phone Number: | 6318483761 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2010 |
NPI Last Update Date: | 11/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 070641 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |