| Carole Shepherd | |
|
252 E 61st St New York NY 10021-8558 | |
| (212) 888-1430 | |
| Not Available |
| Full Name | Carole Shepherd |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 252 E 61st St, New York, New York |
| Authorized Official Name and Position | Martin Radensky (OFFICE MANAGER) |
| Authorized Official Contact | 6462346480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carole Shepherd 252 E 61st St New York NY 10021-8558 Ph: () - | Carole Shepherd 252 E 61st St New York NY 10021-8558 Ph: (212) 888-1430 |
| NPI Number | 1184822843 |
|---|---|
| Provider Enumeration Date | 07/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184822843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 069248 (New York) | Primary |
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