Provider Information for 1376572750
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Mr. DAVID ACKERMAN LCSW
Sex: Male
NPI: 1376572750
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1376572750 | ||||||||
| Enumeration Date | 2006-06-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 226 W 108TH ST NEW YORK, NY 10025-2964 United States Phone: 212-866-8606 | Fax: | ||||||||
| Primary Practice Address | 9729 64TH RD REGO PARK, NY 11374-2240 United States Phone: 718-896-3400 | Fax:718-459-5621 | ||||||||
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