Individual
MS. BASYA WOONTEILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
931 49TH ST, BROOKLYN, NY 11219-2923
(718) 283-7474
Mailing address
1574 PRESIDENT ST, BROOKLYN, NY 11213-4727
(718) 773-0296
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
072195-1
NY
Other
Enumeration date
01/03/2007
Last updated
11/30/2009
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