Organization
EB LICENSED CLINICAL SOCIAL WORK SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SING KIT KEITH CHAN (MANAGER)
(917) 304-9203
Entity
Organization
Contact information
Practice address
65 FROEHLICH FARM BLVD # 812W, WOODBURY, NY 11797-2926
(516) 587-4312
Mailing address
301 REDMONT RD, WEST HEMPSTEAD, NY 11552-3025
(516) 587-4312
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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