Individual
MR. ALEKSANDR MAMKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
938 KINGS HWY, BROOKLYN, NY 11223-2338
(718) 998-3235
Mailing address
1478 FOREST HILL RD, STATEN ISLAND, NY 10314-6318
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P49790
NY
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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