Organization
AMY DIBERNARDO LCSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DIBERNARDO LCSW (PRESIDENT)
(718) 938-0346
Entity
Organization
Contact information
Practice address
295 MADISON AVE STE OFFICE7, NEW YORK, NY 10017-6434
(718) 938-0346
Mailing address
295 MADISON AVENUE, SUITE 701, OFFICE 7, NEW YORK, NY 10017
(718) 938-0346
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
085962
NY
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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