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Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRYAN EPEL (CEO)
(516) 400-2766
Entity
Organization

Contact information

Practice address
174 6TH ST UNIT 320, VERPLANCK, NY 10596-9800
(516) 400-2766
Mailing address
174 6TH ST UNIT 320, VERPLANCK, NY 10596-9800

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
03/25/2024
Last updated
03/25/2024
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