Individual
CARLOS ANTONIO BECERRIL SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
169 W 133RD ST, NEW YORK, NY 10030-3301
(212) 849-2780
Mailing address
169 W 133RD ST, NEW YORK, NY 10030-3301
(212) 849-2780
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
119371
NY
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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