Individual
ADAM HUTTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5030 BROADWAY, NEW YORK, NY 10034-1609
(516) 320-1299
Mailing address
5030 BROADWAY, NEW YORK, NY 10034-1609
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9999999
—
NY
Enumeration date
07/13/2020
Last updated
07/13/2020
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