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Individual

MS. BONNIE B. KAMEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
885 PARK AVE., SUITE 1A, NEW YORK, NY 10075-0383
(212) 737-6993
Mailing address
P.O. BOX 10, ORIENT, NY 11957-0010
(631) 323-9775
(631) 323-8050

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RO14987
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8686
ABECSW
NY
01
886389632
NASWMEMBERSHIP
NY
01
RO14987
NYS CLINICAL PROVIDER #
NY
Enumeration date
11/12/2006
Last updated
09/11/2012
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