Organization
LOWER EASTSIDE SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY MICHELLE TROICKI LMSW (SOCIAL WORKER)
(212) 343-3565
Entity
Organization
Contact information
Practice address
46 E BROADWAY, NEW YORK, NY 10002-6803
(212) 343-3565
Mailing address
203 STULTS LN, EAST BRUNSWICK, NJ 08816-5821
(201) 978-4985
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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