Provider Information for 1710243837
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Mr. CHRISTOPHER ROBERT STANDISH LMSW
Sex: Male
NPI: 1710243837
Last Updated: 2012-04-03
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1710243837 | ||||||||
| Enumeration Date | 2012-04-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1419 8TH AVE #5F BROOKLYN, NY 11215-5152 United States Phone: 646-707-1971 | Fax: | ||||||||
| Primary Practice Address | 9435 RIDGE BLVD BROOKLYN, NY 11209-6750 United States Phone: 718-238-6444 | Fax: | ||||||||
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