Individual
DANIEL SELENGUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1123A MCDONALD AVE, BROOKLYN, NY 11230-3320
(347) 927-5169
Mailing address
1123A MCDONALD AVE, BROOKLYN, NY 11230-3320
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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