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Organization
EVAN MICHAELS LCSW PC
Active
Organization
EVAN MICHAELS LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EVAN M MICHAELS LCSW (OWNER)
(917) 576-0720
Entity
Organization
Contact information
Practice address
2116 MERRICK AVE STE 2001, MERRICK, NY 11566-3409
(917) 576-0720
Mailing address
2116 MERRICK AVE STE 2001, MERRICK, NY 11566-3409
(917) 576-0720
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02454837
—
NY
Enumeration date
03/13/2022
Last updated
03/13/2022
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