Organization
ANDREW MOULDOVAN LLC
Active
Other names
ANDREW MOULDOVAN
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MOULDOVAN LCSW (OWNER)
(917) 691-5873
Entity
Organization
Contact information
Practice address
170 AINSLIE ST # 1, BROOKLYN, NY 11211-4811
(917) 691-5872
Mailing address
170 AINSLIE ST # 1, BROOKLYN, NY 11211-4811
(917) 691-5872
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
11/09/2022
Last updated
11/16/2022
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