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Organization
DENIS EDUARDO BLUMBERG, LCSW, P.C.
Active
Organization
DENIS EDUARDO BLUMBERG, LCSW, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENIS EDUARDO BLUMBERG (LCSW-R)
(718) 541-0884
Entity
Organization
Contact information
Practice address
5619 METROPOLITAN AVE, RIDGEWOOD, NY 11385-1958
(718) 541-0884
Mailing address
285 MERRIFIELD AVE, OCEANSIDE, NY 11572-2913
(347) 563-7959
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R0707661
NY
101YM0800X
Mental Health Counselor
Primary
R0707661
NY
104100000X
Social Worker
R0707661
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02847643
—
NY
Enumeration date
01/13/2011
Last updated
07/31/2023
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