Organization
DENIS E BLUMBERG LCSW-R, P.C.
Active
Parent organization
DENIS E BLUMBERG LCSW-R, P.C.
Other names
Denis E Blumberg LCSW-R, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENIS E BLUMBERG LCSW-R, P.C.
Authorized official
MR. DENIS E BLUMBERG LCSW-R, CASAC (OWNER)
(347) 563-7959
Entity
Organization
Contact information
Practice address
5619 METROPOLITAN AVE, RIDGEWOOD, NY 11385-1958
(718) 541-0884
(718) 366-3355
Mailing address
3123 TRINITY ST, OCEANSIDE, NY 11572-3222
(516) 445-4386
(718) 366-3355
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
006452-1
NY
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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