| Barry M. Kotel, Lcsw, Pc | |
|
125 Riverside Dr Suite 1a New York NY 10024-3710 | |
| (212) 874-0605 | |
| (212) 874-0605 |
| Full Name | Barry M. Kotel, Lcsw, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 125 Riverside Dr, New York, New York |
| Authorized Official Name and Position | Barry M. Kotel (PSYCHOTHERAPIST/OWNER) |
| Authorized Official Contact | 2128740605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barry M. Kotel, Lcsw, Pc 125 Riverside Dr Suite 1a New York NY 10024-3710 Ph: (212) 874-0605 | Barry M. Kotel, Lcsw, Pc 125 Riverside Dr Suite 1a New York NY 10024-3710 Ph: (212) 874-0605 |
| NPI Number | 1639320815 |
|---|---|
| Provider Enumeration Date | 10/06/2008 |
| Last Update Date | 04/22/2009 |
| Medicare PECOS PAC ID | 6608932991 |
|---|---|
| Medicare Enrollment ID | O20090312000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639320815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R013529-1 (New York) | Primary |
| Provider Name | Barry M Kotel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669574836 PECOS PAC ID: 0244395028 Enrollment ID: I20090311000277 |
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