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Organization
INTERBOROUGH DEVELOPMENTAL AND CONSULTATION CENTER
Active
Organization
INTERBOROUGH DEVELOPMENTAL AND CONSULTATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA OGOREK (PSYCHOTHERAPIST)
(516) 509-8667
Entity
Organization
Contact information
Practice address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
(718) 375-1200
Mailing address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
(718) 375-1200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/08/2015
Last updated
07/09/2015
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