Individual
MR. BENNETT ALAN BLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-R
Contact information
Practice address
1268 E 14TH ST, BROOKLYN, NY 11230-5241
(414) 630-3477
(718) 382-0051
Mailing address
690 OCEAN PKWY APT 2A, BROOKLYN, NY 11230-1128
(414) 630-3477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R031403-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031403
SOCIAL WORK
NY
Enumeration date
01/12/2011
Last updated
11/21/2022
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