Individual
MR. CARL NELKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LCSW
Contact information
Practice address
400 W. 55TH STREET, PH A, NYC, NY 10011
(212) 501-2690
Mailing address
PO BOX 20216, NYC, NY 10011
(212) 501-2690
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RO52266-1
NY
Other
Enumeration date
05/03/2007
Last updated
01/30/2009
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