| Affinity Psychotherapy Lcsw Pllc | |
|
240 Madison Ave # 10n New York NY 10016-2820 | |
| (917) 692-8624 | |
| Not Available |
| Full Name | Affinity Psychotherapy Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 240 Madison Ave # 10n, New York, New York |
| Authorized Official Name and Position | Jonathan Schnapp (OWNER) |
| Authorized Official Contact | 9176928624 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Psychotherapy Lcsw Pllc 40 1st Ave Apt 16g New York NY 10009-7645 Ph: (917) 692-8624 | Affinity Psychotherapy Lcsw Pllc 240 Madison Ave # 10n New York NY 10016-2820 Ph: (917) 692-8624 |
| NPI Number | 1639715824 |
|---|---|
| Provider Enumeration Date | 11/21/2019 |
| Last Update Date | 11/21/2019 |
| Medicare PECOS PAC ID | 4880016518 |
|---|---|
| Medicare Enrollment ID | O20200625000195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639715824 | NPI | - | NPPES |
| 1215211388 | Other | NPI | |
| 083253 | Other | NY | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jonathan Schnapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215211388 PECOS PAC ID: 3375856214 Enrollment ID: I20150721001369 |
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