Organization
IV LICENSED CLINICAL SOCIAL WORK P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRINA VOSKOBOYNIK LCSW-R (PRESIDENT)
(718) 288-4770
Entity
Organization
Contact information
Practice address
4812 BEDFORD AVE, APT 1A, BROOKLYN, NY 11235-8603
(718) 234-1212
Mailing address
4812 BEDFORD AVE, APT 1A, BROOKLYN, NY 11235-8603
(718) 234-1212
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
069657
NY
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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