| Cathleen Rybak Lcsw Pc | |
|
799 Broadway Ste 534 New York NY 10003-6815 | |
| (917) 514-1908 | |
| Not Available |
| Full Name | Cathleen Rybak Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 799 Broadway Ste 534, New York, New York |
| Authorized Official Name and Position | Cathleen M Rybak (PRESIDENT) |
| Authorized Official Contact | 9175141908 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cathleen Rybak Lcsw Pc 80 East 11th Street Suite 534 New York NY 10003 Ph: (917) 514-1908 | Cathleen Rybak Lcsw Pc 799 Broadway Ste 534 New York NY 10003-6815 Ph: (917) 514-1908 |
| NPI Number | 1669873451 |
|---|---|
| Provider Enumeration Date | 09/11/2014 |
| Last Update Date | 09/11/2014 |
| Medicare PECOS PAC ID | 3678875606 |
|---|---|
| Medicare Enrollment ID | O20160108000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669873451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | RO48818-1 (New York) | Primary |
| Provider Name | Cathleen M Rybak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174543359 PECOS PAC ID: 8820171747 Enrollment ID: I20080214000450 |
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