| Ellyn Enisman, Lcsw | |
|
39 Collegeview Ave Poughkeepsie NY 12603-7202 | |
| (845) 323-3835 | |
| (845) 485-1890 |
| Full Name | Ellyn Enisman, Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 39 Collegeview Ave, Poughkeepsie, New York |
| Authorized Official Name and Position | Ellyn S Enisman (DIRECTOR) |
| Authorized Official Contact | 8453233835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellyn Enisman, Lcsw 39 Collegeview Ave Poughkeepsie NY 12603-7202 Ph: (845) 323-3835 | Ellyn Enisman, Lcsw 39 Collegeview Ave Poughkeepsie NY 12603-7202 Ph: (845) 323-3835 |
| NPI Number | 1194972034 |
|---|---|
| Provider Enumeration Date | 08/22/2008 |
| Last Update Date | 06/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194972034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 72075571 (New York) | Primary |
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