Individual
MR. CARL EDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R-L.C.S.W.
Contact information
Practice address
3441 78TH ST, 1-I, JACKSON HEIGHTS, NY 11372-2571
(718) 898-8918
Mailing address
PO BOX 305, VILLAGE STATION, NEW YORK, NY 10014-0305
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RO33051-1
NY
Other
Enumeration date
12/05/2010
Last updated
01/04/2011
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