| Spanish Speaking Ederly Council-raices | |
|
10 Hanover Pl Ph Brooklyn NY 11201-5840 | |
| (718) 222-1518 | |
| (718) 222-4376 |
| Full Name | Spanish Speaking Ederly Council-raices |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10 Hanover Pl Ph, Brooklyn, New York |
| Authorized Official Name and Position | Lisette Sosa-dickson (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7182221518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spanish Speaking Ederly Council-raices 410 E 17th St Apt 4a Brooklyn NY 11226-5736 Ph: (917) 620-7265 | Spanish Speaking Ederly Council-raices 10 Hanover Pl Ph Brooklyn NY 11201-5840 Ph: (718) 222-1518 |
| NPI Number | 1821271222 |
|---|---|
| Provider Enumeration Date | 12/10/2007 |
| Last Update Date | 12/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821271222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 074875 (New York) | Primary |
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