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1073572681
C GAVRIEL FAGIN
CEDARHURST, NY
NPI
1073572681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 078842-1)
Enumeration Date
2006-03-22
Last Update Date
2023-12-22
Business Address
Dr. C GAVRIEL FAGIN PhD, LCSW
420 CENTRAL AVE
CEDARHURST, NY 11516-1000
Phone number: 917-257-8626
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Mailing Address
Dr. C GAVRIEL FAGIN PhD, LCSW
125 PINE ST
WOODMERE, NY 11598-2627
Phone number: 917-257-8626
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