Individual
DANA KORESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2901 CAMPUS RD, BROOKLYN, NY 11210-2153
(800) 683-2616
(718) 504-4811
Mailing address
2901 CAMPUS RD, BROOKLYN, NY 11210-2153
(800) 683-2616
(718) 504-4811
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
091480-1
NY
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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