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1164928156
PHILLIP SCOTT TENENBAUM
ASTORIA, NY
NPI
1164928156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-03-30
Last Update Date
2018-09-05
Business Address
PHILLIP SCOTT TENENBAUM LMHC
3804 31ST AVE
ASTORIA, NY 11103
Phone number: 516-554-4865
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Mailing Address
PHILLIP SCOTT TENENBAUM LMHC
3804 31ST AVE
ASTORIA, NY 11103-3800
Phone number: 516-554-4865
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