Provider Information for 1033301916
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Mr. SCOTT A CHRISTNELLY LCSW
Sex: Male
NPI: 1033301916
Last Updated: 2007-08-14
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1033301916 | ||||||||
| Enumeration Date | 2007-08-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2331 29TH ST APT 2J ASTORIA, NY 11105-2817 United States Phone: 718-626-0519 | Fax:718-739-2525 | ||||||||
| Primary Practice Address | 3128 41ST ST ASTORIA, NY 11103-3902 United States Phone: 718-739-2525 | Fax:718-739-2552 | ||||||||
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