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1558503375
FAMILY PRACTICE LCSW PC
STATEN ISLAND, NY
NPI
1558503375
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Entity Type
Organization
Authorized Contact
ELINA MALAMUD
Owner
917-992-1647
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 076320)
Enumeration Date
2009-03-25
Last Update Date
2010-03-22
Business Address
FAMILY PRACTICE LCSW PC
65 WEED AVE
STATEN ISLAND, NY 10306-4922
Phone number: 917-992-1647
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Mailing Address
FAMILY PRACTICE LCSW PC
65 WEED AVE
STATEN ISLAND, NY 10306-4922
Phone number: 917-992-1647
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