Individual
CARLY SYD KISBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 EAST 46TH STREET, APARTMENT 7K, NEW YORK, NY 10017
(201) 638-9359
Mailing address
333 EAST 46TH STREET, APARTMENT 7K, NEW YORK, NY 10017
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
72 084711
NY
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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