Individual
MR. BIJU PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8148
(718) 630-3060
Mailing address
50 TODD CT, HUNTINGTN STA, NY 11746-4224
(718) 963-5885
(718) 630-3060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
069503-1
NY
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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