Individual
MR. ANCIL S PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
971 JEROME ST, BROOKLYN, NY 11207-9252
(718) 272-3300
Mailing address
136 HERZL ST, BROOKLYN, NY 11212-4629
(718) 498-4710
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
073840
NY
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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