Individual
STEVEN KUMBARTZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 RIDGE RD, MAHWAH, NJ 07430-2010
(469) 608-9324
Mailing address
6027 W OLIVE AVE, GLENDALE, AZ 85302-3035
(469) 608-9324
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K92397230010714
DRIVERS LICENSE
NJ
Enumeration date
05/27/2021
Last updated
05/27/2021
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