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Organization
SPANISH SPEAKING ELDERLY COUNCIL-RAICES,INC.
Active
Organization
SPANISH SPEAKING ELDERLY COUNCIL-RAICES,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LISETTE SOSA-DICKSON LCSW (EXECUTIVE DIRECTOR)
(718) 643-0232
Entity
Organization
Contact information
Practice address
460 ATLANTIC AVE FL 1, BROOKLYN, NY 11217-1704
(718) 222-1518
(718) 222-4376
Mailing address
460 ATLANTIC AVE FL 1, BROOKLYN, NY 11217-1704
(718) 222-1518
(718) 222-4376
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
074820
NY
1041C0700X
Clinical Social Worker
9137110A
NY
2084P0800X
Psychiatry Physician
Primary
194308
NY
Other
Enumeration date
07/16/2006
Last updated
09/06/2016
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