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Organization
OLEG SIROTNIKOV, L.C.S.W.,P.C.
Active
Organization
OLEG SIROTNIKOV, L.C.S.W.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLEG SIROTNIKOV L.C.S.W. (CEO)
(917) 239-0106
Entity
Organization
Contact information
Practice address
101 DARTMOUTH ST, VALLEY STREAM, NY 11581-3215
(917) 239-0106
(516) 295-2659
Mailing address
101 DARTMOUTH ST, VALLEY STREAM, NY 11581-3215
(917) 239-0106
(516) 295-2659
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P058840-1
NY
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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