Individual
AVI GARDENSWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1535 E 10TH ST, BROOKLYN, NY 11230
(718) 535-1977
Mailing address
1221 E 14TH ST, BROOKLYN, NY 11230-4803
(718) 535-1977
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
083934
NY
Other
Enumeration date
04/02/2014
Last updated
08/21/2018
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