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1912720137
DIMITRY DAVID
BAY SHORE, NY
NPI
1912720137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 123878)
Enumeration Date
2024-11-05
Last Update Date
2024-11-05
Business Address
Mr. DIMITRY DAVID LMSW
1441 MANATUCK BLVD
BAY SHORE, NY 11706-4919
Phone number: 516-503-3868
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Mailing Address
Mr. DIMITRY DAVID LMSW
1441 MANATUCK BLVD
BAY SHORE, NY 11706-4919
Phone number: 516-503-3868
Copy
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