| Denis Eduardo Blumberg Lcsw-r | |
|
285 Merrifield Ave Oceanside NY 11572-2913 | |
| (718) 541-0884 | |
| (516) 764-1097 |
| Full Name | Denis Eduardo Blumberg Lcsw-r |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 285 Merrifield Ave, Oceanside, New York |
| Authorized Official Name and Position | Denis Eduardo Blumberg (OWNER) |
| Authorized Official Contact | 7185410884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denis Eduardo Blumberg Lcsw-r 5619 Metropolitan Ave Ridgewood NY 11385-1958 Ph: (718) 541-0884 | Denis Eduardo Blumberg Lcsw-r 285 Merrifield Ave Oceanside NY 11572-2913 Ph: (718) 541-0884 |
| NPI Number | 1013146224 |
|---|---|
| Provider Enumeration Date | 07/09/2009 |
| Last Update Date | 07/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013146224 | NPI | - | NPPES |
| 02847643 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | R070766-1 (New York) | Primary |
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