Individual
BROCHA SHERESHEVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1273 53RD ST, BROOKLYN, NY 11219-3865
(718) 435-5700
Mailing address
3410 AVENUE P, BROOKLYN, NY 11234-3441
(718) 614-1719
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
095769
NY
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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