Individual
MR. ALLEN ERNEST SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
11515 SUTPHIN BLVD, JAMAICA, NY 11434-1020
(718) 659-4000
Mailing address
155 69 115 RAOD, JAMAICA, NY 11434
(917) 226-6726
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
085833
NY
Other
Enumeration date
01/31/2007
Last updated
01/12/2018
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