Individual
BARUCH GUBNITSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
(718) 375-1200
Mailing address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
(718) 375-1200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
115484
NY
171M00000X
Case Manager/Care Coordinator
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115484
LICENSE MASTER SOCIAL WORKER
NY
Enumeration date
03/21/2022
Last updated
07/07/2022
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