Mitchell Berk, L.C.S.W., M.A.
Social Worker, Clinical in Fresh Meadows, NY. Individual provider (NPI-1).
NPI number1336217397
StatusActive
Last updated in NPPESMar 28, 2013
Details
- NPI
- 1336217397
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mitchell Berk
- Credential
- L.C.S.W., M.A.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 30, 2006
- Last updated
- Mar 28, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | R043964-1 | NY | Yes |
Practice location
18417 Union TpkeFresh Meadows, NY 11366-1729
Phone 718-454-0177 · Fax 718-454-1819
Mailing address
18417 Union TpkeFresh Meadows, NY 11366-1729
Phone 718-454-0177 · Fax 718-454-1819
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