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Individual

AVITAL SIMCHA NYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
2020 CONEY ISLAND AVE, BROOKLYN, NY 11223-2329
(718) 676-4280
Mailing address
37 CARLTON RD, MONSEY, NY 10952-2522
(718) 676-4280

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
72081223
NY

Other

Enumeration date
10/15/2009
Last updated
09/02/2010
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