Avantgarde Behavioral Health Services Lcsw Pllc | |
19 W 34th St New York NY 10001-3006 | |
(917) 291-2191 | |
(718) 332-2273 |
Full Name | Avantgarde Behavioral Health Services Lcsw Pllc |
---|---|
Speciality | Social Worker - Clinical |
Location | 19 W 34th St, New York, New York |
Authorized Official Name and Position | Ludmilla Rubinov (VICE PRESIDENT/OWNER) |
Authorized Official Contact | 9172912191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Avantgarde Behavioral Health Services Lcsw Pllc 145 Hastings St Brooklyn NY 11235-3017 Ph: (917) 291-2191 | Avantgarde Behavioral Health Services Lcsw Pllc 19 W 34th St New York NY 10001-3006 Ph: (917) 291-2191 |
NPI Number | 1083954077 |
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Provider Enumeration Date | 02/27/2013 |
Last Update Date | 02/27/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083954077 | NPI | - | NPPES |
A400042543 | Other | NY | MEDICARE |
00077151 | Medicaid | NY | |
1487737169 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 077151 (New York) | Primary |
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