| Ay Coping Psychotherapy Lcsw Pllc | |
|
2980 W 28th St Apt 2348 Brooklyn NY 11224-2083 | |
| (646) 705-8766 | |
| Not Available |
| Full Name | Ay Coping Psychotherapy Lcsw Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2980 W 28th St Apt 2348, Brooklyn, New York |
| Authorized Official Name and Position | Alexander Yentin (LICENSED CLINICAL SOCIAL WORK) |
| Authorized Official Contact | 6467058766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ay Coping Psychotherapy Lcsw Pllc 2980 W 28th St Apt 2348 Brooklyn NY 11224-2083 Ph: (646) 705-8766 | Ay Coping Psychotherapy Lcsw Pllc 2980 W 28th St Apt 2348 Brooklyn NY 11224-2083 Ph: (646) 705-8766 |
| NPI Number | 1376265066 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/19/2022 |
| Medicare PECOS PAC ID | 2567839475 |
|---|---|
| Medicare Enrollment ID | O20221107001470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376265066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Alexander Yentin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750394631 PECOS PAC ID: 3779652771 Enrollment ID: I20080516000367 |
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