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1629021084
GARY N EISENDORF
BROOKLYN, NY
NPI
1629021084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 033089)
Enumeration Date
2006-05-18
Last Update Date
2009-05-15
Business Address
Mr. GARY N EISENDORF LCSW
20 EIGHTH AVENUE
BROOKLYN, NY 11238-4358
Phone number: 516-984-4084
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Mailing Address
Mr. GARY N EISENDORF LCSW
P O BOX 621
ROCKVILLE CENTRE, NY 11571-4358
Phone number: 516-984-4084
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