Organization
ASSOCIATES FOR INNER RESOURCE DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL WEIDBERG LCSW (PRESIDENT)
(718) 544-3454
Entity
Organization
Contact information
Practice address
110-20 71ST AVE, PROFESSIONAL OFFICE #3, FOREST HILLS, NY 11375
(718) 544-3454
Mailing address
125-10 QUEENS BLVD, APT 2405, KEW GARDENS, NY 11415
(718) 544-3454
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R11905
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067583
GHI
NY
Enumeration date
04/06/2007
Last updated
04/22/2010
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