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Organization
SENIOR BEHAVIORAL GROUP, INC.
Active
Organization
SENIOR BEHAVIORAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RACHEL LEVIN (PRESIDENT)
(917) 312-5697
Entity
Organization
Contact information
Practice address
18136 KILDARE RD, JAMAICA, NY 11432-1534
(917) 312-5697
Mailing address
18136 KILDARE RD, JAMAICA, NY 11432-1534
(917) 312-5697
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/11/2020
Last updated
12/14/2020
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