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Organization
HUDSON LCSW GROUP, PLLC
Active
Organization
HUDSON LCSW GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL FELLOWS LCSW (MEMBER)
(914) 843-0300
Entity
Organization
Contact information
Practice address
180 S BROADWAY, SUITE 309, WHITE PLAINS, NY 10605-1818
(914) 843-0300
Mailing address
180 S BROADWAY, SUITE 309, WHITE PLAINS, NY 10605-1818
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
082263
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255663654
BLUE CROSS BLUE SHEILD
NY
01
—
1902215205
BLUE CROSS BLUE SHEILD
NY
Enumeration date
03/03/2016
Last updated
03/03/2016
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