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Organization
COLUMBUS PARK BEHAVIORAL HEALTH, LCSW, LLC
Active
Organization
COLUMBUS PARK BEHAVIORAL HEALTH, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA GERSON LCSW (CLINICAL DIRECTOR)
(646) 245-2021
Entity
Organization
Contact information
Practice address
3 COLUMBUS CIR FL 15, NEW YORK, NY 10019-8716
(646) 414-1446
Mailing address
3 COLUMBUS CIR FL 15, NEW YORK, NY 10019-8716
(646) 414-1446
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
077255
NY
Other
Enumeration date
05/12/2011
Last updated
01/27/2022
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