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1659759892
CHARLES EISENBERG
CORAM, NY
NPI
1659759892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 036633)
Enumeration Date
2015-05-07
Last Update Date
2016-02-17
Business Address
Mr. CHARLES EISENBERG LCSW-R
141 BIRCHWOOD RD
CORAM, NY 11727-3675
Phone number: 212-268-0226
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Mailing Address
Mr. CHARLES EISENBERG LCSW-R
3259 44TH ST APT 2L
ASTORIA, NY 11103-2306
Phone number: 212-268-0226
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