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Organization
LICENSED MASTER SOCIAL WORK SERVICES, PLLC
Active
Organization
LICENSED MASTER SOCIAL WORK SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL JAMES CHERTOK LMSW, CASAC-T (OWNER/ EXECUTIVE DIRECTOR)
(631) 524-4870
Entity
Organization
Contact information
Practice address
416 SCRANTON AVE, 2ND FLOOR, LYNBROOK, NY 11563-3336
(516) 698-5511
Mailing address
416 SCRANTON AVE, 2ND FLOOR, LYNBROOK, NY 11563-3336
(516) 698-5511
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
088454
NY
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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