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Organization
FAMILY PRACTICE LCSW PC
Active
Organization
FAMILY PRACTICE LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELINA MALAMUD LCSW (OWNER)
(917) 992-1647
Entity
Organization
Contact information
Practice address
65 WEED AVE, STATEN ISLAND, NY 10306-4922
(917) 992-1647
(347) 492-4514
Mailing address
65 WEED AVE, STATEN ISLAND, NY 10306-4922
(917) 992-1647
(347) 492-4514
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
076320
NY
Other
Enumeration date
03/25/2009
Last updated
03/22/2010
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