Individual
MR. BENJAMIN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
147 FRONT ST STE 212, BROOKLYN, NY 11201-1154
(929) 366-0331
Mailing address
147 FRONT ST STE 311, BROOKLYN, NY 11201-1154
(929) 366-0331
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NY
Other
Enumeration date
02/22/2019
Last updated
04/04/2019
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