| Licensed Master Social Work Services, Pllc | |
|
416 Scranton Ave 2nd Floor Lynbrook NY 11563-3336 | |
| (516) 698-5511 | |
| Not Available |
| Full Name | Licensed Master Social Work Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 416 Scranton Ave, Lynbrook, New York |
| Authorized Official Name and Position | Russell James Chertok (OWNER/ EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6315244870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Licensed Master Social Work Services, Pllc 416 Scranton Ave 2nd Floor Lynbrook NY 11563-3336 Ph: (516) 698-5511 | Licensed Master Social Work Services, Pllc 416 Scranton Ave 2nd Floor Lynbrook NY 11563-3336 Ph: (516) 698-5511 |
| NPI Number | 1295144616 |
|---|---|
| Provider Enumeration Date | 08/11/2014 |
| Last Update Date | 08/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295144616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 088454 (New York) | Primary |
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