Individual
MR. BRUCE MATTHEW POLLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
475 PARK AVENUE SOUTH, 5TH FLOOR, NEW YORK, NY 10016
(646) 459-0338
Mailing address
30 BRADLEY AVENUE, WHITE PLAINS, NY 10607
(917) 957-5673
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
069504
NY
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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