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Contact Information

SETH CHANDLER
2233 NESCONSET HWY STE 201
LAKE GROVE, NY11755-1000
 Phone: 631-603-8518
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for SETH CHANDLER · (Male)

NPI Number 1437796034
Status Active
Credentials
Entity Individual
Enumeration date 12/03/2019
Last updated 09/02/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 084167
  • NY License # 090034
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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