Individual
MS. CYNTHIA BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
998 CROOKED HILL RD, BUILDING 5 OUTPATIENT DEPARTMENT, BRENTWOOD, NY 11717-1019
(631) 306-5740
(631) 306-5885
Mailing address
998 CROOKED HILL RD, BUILDING 5 OUTPATIENT DEPARTMENT, BRENTWOOD, NY 11717-1019
(631) 306-5740
(631) 306-5885
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P68923
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01035285
—
NY
Enumeration date
02/20/2009
Last updated
02/20/2009
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