Individual
MRS. CAROL J BLITSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14 PARK PL, PELHAM, NY 10803-1308
(914) 671-4595
Mailing address
14 PARK PL, PELHAM, NY 10803-1308
(914) 671-4595
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
003592
CT
1041C0700X
Clinical Social Worker
Primary
R015263-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02180514
—
NY
Enumeration date
01/10/2007
Last updated
07/08/2007
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