C GAVRIEL FAGIN

CEDARHURST, NY
NPI1073572681
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  078842-1)
Enumeration Date2006-03-22
Last Update Date2023-12-22
Business Address
Dr. C GAVRIEL FAGIN PhD, LCSW
420 CENTRAL AVE
CEDARHURST, NY 11516-1000
Phone number: 917-257-8626
Mailing Address
Dr. C GAVRIEL FAGIN PhD, LCSW
125 PINE ST
WOODMERE, NY 11598-2627
Phone number: 917-257-8626
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