Individual
MR. CESAR CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
635 W 165TH ST FL 6, NEW YORK, NY 10032-3724
(212) 305-6506
Mailing address
60 BROAD ST W APT 5A, MOUNT VERNON, NY 10552-2139
(212) 545-9664
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
081452
NY
Other
Enumeration date
09/03/2008
Last updated
12/20/2013
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