| Christine Purushothaman Lcsw Pllc | |
|
220 5th Ave Fl 11 New York NY 10001-8017 | |
| (646) 397-4310 | |
| Not Available |
| Full Name | Christine Purushothaman Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 220 5th Ave Fl 11, New York, New York |
| Authorized Official Name and Position | Christine Purushothaman (OWNER & PSYCHOTHERAPIST) |
| Authorized Official Contact | 2156304739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Purushothaman Lcsw Pllc 220 5th Ave Fl 11 New York NY 10001-8017 Ph: (646) 397-4310 | Christine Purushothaman Lcsw Pllc 220 5th Ave Fl 11 New York NY 10001-8017 Ph: (646) 397-4310 |
| NPI Number | 1326814112 |
|---|---|
| Provider Enumeration Date | 12/01/2023 |
| Last Update Date | 12/01/2023 |
| Certification Date | 12/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326814112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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