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1588442362
SAMUEL LISSAUER
BROOKLYN, NY
NPI
1588442362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-09-21
Last Update Date
2023-09-21
Business Address
SAMUEL LISSAUER LMSW
5309 18TH AVE
BROOKLYN, NY 11204-1523
Phone number: 718-875-6900
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Mailing Address
SAMUEL LISSAUER LMSW
926 BEDFORD AVE
BROOKLYN, NY 11205-3913
Phone number:
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