Individual
MR. BENNETT MELZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
41-51 EAST 11TH STREET, 4TH FLOOR, NEW YORK, NY 10003
(917) 579-5507
Mailing address
4761 BROADWAY APT 4Z, OFFICE- 41-51 EAST 11TH ST.-4TH FLOOR, NEW YORK, NY 10034-4938
(212) 942-7670
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RO37000-1
NY
Other
Enumeration date
11/08/2006
Last updated
01/28/2011
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