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Individual

BRIAN FLYNN CASANOVAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
343 E 65TH ST APT 4RE, NEW YORK, NY 10065-6861
(917) 353-4323
Mailing address
100 PARK AVE FL 16, NEW YORK, NY 10017-5538
(212) 433-2384

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
118708
NY

Other

Enumeration date
04/25/2023
Last updated
04/25/2023
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