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MR. CORNELIUS SABBLAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
598 BROADWAY FL 2, NEW YORK, NY 10012-3363
(212) 966-9537
Mailing address
514 E 163RD ST APT 12C, BRONX, NY 10451-4284
(917) 854-3316

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
089546
NY

Other

Enumeration date
08/29/2014
Last updated
08/29/2014
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