Individual
CHARLES KELLERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
50 W HAWTHORNE AVE, VALLEY STREAM, NY 11580-6223
(516) 569-6600
Mailing address
50 W HAWTHORNE AVE, VALLEY STREAM, NY 11580-6223
(718) 845-2621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
108591-01
NY
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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