Individual
ADAM BIRKENSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5 JADWIN ST, VALLEY STREAM, NY 11581-3228
(516) 823-5356
Mailing address
5 JADWIN ST, VALLEY STREAM, NY 11581-3228
(516) 823-5356
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
086269
NY
Other
Enumeration date
05/06/2014
Last updated
04/01/2024
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