Individual
AZAT SOUREN OGANESIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1011 WASHINGTON AVE, BRONX, NY 10456-6619
(718) 585-4205
Mailing address
1011 WASHINGTON AVE, BRONX, NY 10456-6619
(715) 585-4205
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
092633
NY
Other
Enumeration date
01/05/2015
Last updated
09/22/2016
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