Otis Mack II LMSW

NPI 1083827760 - Social Worker - 104100000X

NPI Details
NPI 1083827760
Gender Male
Enumeration Date 05/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
BROOKLYN NY, 11203-1709, US
Phone (718) 245-2348
Fax (718) 245-2416
Business Location
25924 147TH AVE
ROSEDALE NY, 11422-3321, US
Phone (718) 525-2923
Taxonomy Code 104100000X
License State New York
License Number 072983-1
Remove 1083827760 NPI Number

According to our database, Mr. Otis Mack II LMSW NPI is 1083827760, taxonomy code is 104100000X and license number is 072983-1, license state is located at New York. Otis Mack II LMSW physically located at 606 Winthrop St, Brooklyn NY, 11203-1709. NPI Number Otis Mack II LMSW has the Individual type.

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1083827760 NPI number is provided on an as is basis without warranty of any kind. 1083827760 is maintained by the National Plan & Provider Enumeration System. The contents of Otis Mack II LMSW are for informational purposes only.