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Organization
NICOLE BRILL LCSW-R
Active
Organization
NICOLE BRILL LCSW-R
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE EDITH BRILL LCSW-R (PSYCHOTHERAPIST)
(516) 382-3003
Entity
Organization
Contact information
Practice address
47 ESSEX CT, PORT WASHINGTON, NY 11050-4222
(516) 382-3003
Mailing address
47 ESSEX CT, PORT WASHINGTON, NY 11050-4222
(516) 382-3003
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
034481
NY
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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