| Autesh Therapy Services, Lcsw, Pllc | |
|
23318 130th Ave Rosedale NY 11422-1102 | |
| (646) 423-1286 | |
| Not Available |
| Full Name | Autesh Therapy Services, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 23318 130th Ave, Rosedale, New York |
| Authorized Official Name and Position | Terry Audate (OWNER) |
| Authorized Official Contact | 6464231286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autesh Therapy Services, Lcsw, Pllc 23318 130th Ave Rosedale NY 11422-1102 Ph: (646) 423-1286 | Autesh Therapy Services, Lcsw, Pllc 23318 130th Ave Rosedale NY 11422-1102 Ph: (646) 423-1286 |
| NPI Number | 1447606595 |
|---|---|
| Provider Enumeration Date | 05/09/2016 |
| Last Update Date | 06/14/2023 |
| Certification Date | 06/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447606595 | NPI | - | NPPES |
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