Individual
ARYEH L WIEDERKEHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2020 CONEY ISLAND AVE, BROOKLYN, NY 11223-2329
(718) 676-4210
Mailing address
14732 69TH RD # 11367, FLUSHING, NY 11367-1732
(347) 730-3286
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
081610
NY
1041C0700X
Clinical Social Worker
Primary
081506
NY
Other
Enumeration date
08/02/2010
Last updated
01/10/2016
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