Fred Esanbormen Eirebamen
Fred Esanbormen Eirebamen is a Social Worker in Amityville, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2021
Practice location Address checks out
26 Autumn LnAmityville, NY 11701-1614
Phone: (631) 418-6313
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 082473 (NY) |
|---|
Record details
| NPI number | 1427633254 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 12, 2021 |
| Last updated in NPPES | March 12, 2021 |
| Certification date | March 12, 2021 |
| Mailing address | 26 Autumn Ln, Amityville, NY 11701-1614 |
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