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1700526043
MORDECHAI DAVID FRIED
VALLEY STREAM, NY
NPI
1700526043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 117641)
Additional Taxonomies
1041C0700X Social Worker, Clinical
Enumeration Date
2022-04-01
Last Update Date
2022-11-30
Business Address
MORDECHAI DAVID FRIED MSW
50 W HAWTHORNE AVE
VALLEY STREAM, NY 11580-6223
Phone number: 516-569-6600
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Mailing Address
MORDECHAI DAVID FRIED MSW
156 BEACH 9TH ST
FAR ROCKAWAY, NY 11691-5636
Phone number: 718-686-3149
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