Provider Information for 1366614026
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Mr. MARK SCHIFFMAN LCSW-R
Sex: Male
NPI: 1366614026
Last Updated: 2008-04-01
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1366614026 | ||||||||
| Enumeration Date | 2008-04-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 43 LAKEFRONT RD PUTNAM VALLEY, NY 10579-2226 United States Phone: 914-393-3454 | Fax: | ||||||||
| Primary Practice Address | 100 EXECUTIVE BLVD SUITE 203 OSSINING, NY 10562-2557 United States Phone: 914-393-3454 | Fax: | ||||||||
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