Individual
MR. BRIAN JAMES HAENSLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-R
Contact information
Practice address
159 INDIAN HEAD RD, COMMACK, NY 11725-2205
(631) 543-4500
(631) 543-5162
Mailing address
29 SYLVAN AVE, MILLER PLACE, NY 11764-1929
(631) 928-7552
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
049129
NY
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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