Individual
MR. STEPHEN MARK BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCGC II
Contact information
Practice address
255 AVENUE W, BROOKLYN, NY 11223-5202
(866) 569-7233
(718) 336-6815
Mailing address
PO BOX 230060, BROOKLYN, NY 11223-0060
(866) 569-7233
(718) 336-6815
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
162
DC
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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