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Organization
LINNAR ORTALAN, LCSW, PC
Active
Organization
LINNAR ORTALAN, LCSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINNAR ORTALAN LCSW-R (OWNER OF THE CORPORATION)
(718) 608-5908
Entity
Organization
Contact information
Practice address
4150 RICHMOND AVE, STATEN ISLAND, NY 10312
(718) 608-5919
Mailing address
83 PEMBERTON AVE, STATEN ISLAND, NY 10308
(718) 608-5919
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R037127
NY
Other
Enumeration date
05/10/2010
Last updated
05/13/2010
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