Individual
BATSHEVA RENA BOMZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
728 N MAIN ST, NEW SQUARE, NY 10977-8916
(845) 354-9300
Mailing address
42 EDISON CT APT G, MONSEY, NY 10952-1927
(443) 547-3923
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
094338-1
NY
Other
Enumeration date
06/20/2016
Last updated
08/06/2019
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