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Individual
NEIL J CERVERA
Active
Individual
NEIL J CERVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, PH.D.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR015087-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01563386
—
NY
Enumeration date
09/14/2006
Last updated
07/08/2007
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