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1720248032
ERIC SCOTT NEITHARDT
SMITHTOWN, NY
NPI
1720248032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NY R070034-1)
Enumeration Date
2008-06-10
Last Update Date
2008-06-10
Business Address
MR. ERIC SCOTT NEITHARDT R-LCSW
267 MIDDLE COUNTRY RD BUILDING B
SMITHTOWN, NY 11787-2874
Phone number: 631-235-4174
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Mailing Address
MR. ERIC SCOTT NEITHARDT R-LCSW
12 MADISON ST
SMITHTOWN, NY 11787-1056
Phone number: 631-235-4174
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