Organization
AREBA CASRIEL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SELWYN FERGUS LCSW (CLINICAL DIRECTOR)
(212) 378-4545
Entity
Organization
Contact information
Practice address
315 5TH AVE, NEW YORK, NY 10016-6510
(212) 378-4545
Mailing address
315 5TH AVE, NEW YORK, NY 10016-6510
(212) 378-4545
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
133113707
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133113707
TAX ID
NY
Enumeration date
09/22/2011
Last updated
09/22/2011
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