Individual
MR. ALAN ETHAN DEZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSWR
Contact information
Practice address
8 GRAMERCY PARK S, SUITE 2J, NEW YORK, NY 10003-1718
(212) 877-2700
Mailing address
3 MOLLER ST, TENAFLY, NJ 07670-2019
(212) 877-2700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CWO12697
PA
1041C0700X
Clinical Social Worker
Primary
R068622
NY
Other
Enumeration date
05/13/2007
Last updated
07/08/2007
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