Individual
ADAM GERSZBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LCSW
Contact information
Practice address
65 HERRICK RD, SOUTHAMPTON, NY 11968-4941
(347) 559-1122
Mailing address
65 HERRICK RD, SOUTHAMPTON, NY 11968-4941
(347) 559-1122
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
109586
NY
104100000X
Social Worker
44SL06570900
NJ
1041C0700X
Clinical Social Worker
Primary
096219
NY
Other
Enumeration date
08/27/2019
Last updated
05/04/2024
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