Individual
BRUCE M WEBBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
35 E 35TH ST, SUITE 1-M, NEW YORK, NY 10016-3823
(646) 522-4121
Mailing address
19105 35TH AVE, APT. I, FLUSHING, NY 11358-1900
(646) 522-4121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R055524-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P2576834
OXFORD HEALTH
NY
Enumeration date
01/20/2007
Last updated
07/08/2007
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