Individual
ADOLFO MARRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2265 3RD AVE, NEW YORK, NY 10035-2231
(212) 289-6650
Mailing address
2265 3RD AVE, NEW YORK, NY 10035-2231
(212) 289-6650
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
073766
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040426033413
FIDELIS PROVIDER NUMBER
NY
Enumeration date
08/23/2006
Last updated
07/30/2019
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