Organization
KENNETH FLIESSER LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH HOWARD FLIESSER LCSW (PRESIDENT/TREASURER)
(845) 709-8938
Entity
Organization
Contact information
Practice address
978 ROUTE 45, POMONA, NY 10970-3521
(845) 709-8938
(845) 678-1889
Mailing address
104 BELLOWS LN, NEW CITY, NY 10956-2439
(845) 709-8938
(845) 678-1889
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
076582
NY
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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