Bryan Russell Rothenstein LMSW

NPI 1225301559 - Social Worker - 104100000X

NPI Details
NPI 1225301559
Gender Male
Enumeration Date 02/16/2012
Last Updated 02/16/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
22005 JAMAICA AVE
QUEENS VILLAGE NY, 11428-2140, US
Phone (718) 740-5000
Fax (718) 479-0200
Business Location
6127 224TH ST
APT A
OAKLAND GARDENS NY, 11364-2331, US
Phone (917) 608-5763
Fax
Toxanomy
Taxonomy Code 104100000X
License State New York
License Number 084913
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According to our database, Bryan Russell Rothenstein LMSW NPI is 1225301559, taxonomy code is 104100000X and license number is 084913, license state is located at New York. Bryan Russell Rothenstein LMSW physically located at 22005 Jamaica Ave, Queens Village NY, 11428-2140. NPI Number Bryan Russell Rothenstein LMSW has the Individual type.

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1225301559 NPI number is provided on an as is basis without warranty of any kind. 1225301559 is maintained by the National Plan & Provider Enumeration System. The contents of Bryan Russell Rothenstein LMSW are for informational purposes only.