MR. JEFFREY WALLACH, L.C.S.W.-R.

Social Worker - Clinical

Active Individual
NPI: 1407952054

Practice Address

1670 E 17TH ST # 78
INTERBOROUGH DEVELOPMENTAL AND CONSULTATION CENTER
Brooklyn, NY 11229

Phone: (917) 502-0762

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X No 023720-1 (NY)

Frequently Asked Questions

NPI 1407952054 is the National Provider Identifier for MR. JEFFREY WALLACH, L.C.S.W.-R., a Social Worker - Clinical provider located in Brooklyn, NY. This NPI was enumerated on September 14, 2006.
MR. JEFFREY WALLACH, L.C.S.W.-R. practices at 1670 E 17TH ST # 78, INTERBOROUGH DEVELOPMENTAL AND CONSULTATION CENTER, Brooklyn, NY 11229.

Quick Facts

NPI
1407952054
Type
Individual
Enumerated
Sep 14, 2006
Last Updated
Jul 8, 2007

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