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Organization
SENIOR LIVING BEHAVIORAL HEALTH LCSW PLLC
Active
Organization
SENIOR LIVING BEHAVIORAL HEALTH LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE BROTTER PHD (SOLE MBR)
(800) 829-0115
Entity
Organization
Contact information
Practice address
747 3RD AVE, 2ND FLOOR, NEW YORK, NY 10017-2803
(800) 829-0115
Mailing address
747 3RD AVE, 2ND FLOOR, NEW YORK, NY 10017-2803
(800) 829-0115
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NY
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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