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Contact Information

JERRY M NATHAN, LCSW-R
523 WESTERN AVENUE
ALBANY, NY12203
 Phone: 518-489-7777
 Fax: 518-489-7771
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JERRY M NATHAN · (Male)

NPI Number 1033352554
Status Active
Credentials LCSW-R
Entity Individual
Enumeration date 04/14/2009
Last updated 04/14/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # R055628-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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