Individual
MR. ALISTAIR BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
113 UNIVERSITY PL, SUITE 914, NEW YORK, NY 10003-4527
(347) 878-0403
Mailing address
113 UNIVERSITY PL, SUITE 914, NEW YORK, NY 10003-4527
(347) 878-0403
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/16/2011
Last updated
07/21/2014
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