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Individual
SUSAN BIRENBAUM
Active
Individual
SUSAN BIRENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R038015-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0232059
EMBLEM HEALTH
NY
01
—
611299
VALUE OPTIONS,
NY
01
—
NBF511
EMPIRE BLUE CROSS BLUESHIELD
NY
Enumeration date
02/08/2007
Last updated
09/26/2012
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