Individual
BEN MEDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1133 BROADWAY, SUITE 511, NEW YORK, NY 10010-7903
(917) 348-9505
Mailing address
1133 BROADWAY, SUITE 511, NEW YORK, NY 10010-7903
(917) 348-9505
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
078261
NY
Other
Enumeration date
08/12/2008
Last updated
03/19/2012
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