Organization
CAROLE SHEPHERD
Active
Organization
CAROLE SHEPHERD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN RADENSKY (OFFICE MANAGER)
(646) 234-6480
Entity
Organization
Contact information
Practice address
252 E 61ST ST, NEW YORK, NY 10021-8558
(212) 888-1430
Mailing address
252 E 61ST ST, NEW YORK, NY 10021-8558
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
069248
NY
Other
Enumeration date
07/04/2007
Last updated
08/22/2020
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