Individual
CARL CORENBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW,LSW
Contact information
Practice address
921 E NEW YORK AVE, BROOKLYN, NY 11203-1309
(718) 778-0485
Mailing address
921 E NEW YORK AVE, BROOKLYN, NY 11203-1309
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KC81202G
—
NY
Enumeration date
11/09/2016
Last updated
11/09/2016
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