| Daniel Dresdner Lcsw Pllc | |
|
11 W Prospect Ave Ste 3d Mount Vernon NY 10550-2017 | |
| (914) 338-8734 | |
| Not Available |
| Full Name | Daniel Dresdner Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 11 W Prospect Ave Ste 3d, Mount Vernon, New York |
| Authorized Official Name and Position | Daniel Dresdner (OWNER) |
| Authorized Official Contact | 3475857594 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Dresdner Lcsw Pllc 11 W Prospect Ave Ste 3d Mount Vernon NY 10550-2017 Ph: (914) 338-8734 | Daniel Dresdner Lcsw Pllc 11 W Prospect Ave Ste 3d Mount Vernon NY 10550-2017 Ph: (914) 338-8734 |
| NPI Number | 1518674381 |
|---|---|
| Provider Enumeration Date | 11/01/2022 |
| Last Update Date | 01/18/2023 |
| Certification Date | 01/18/2023 |
| Medicare PECOS PAC ID | 3274904651 |
|---|---|
| Medicare Enrollment ID | O20230123000622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518674381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Daniel Dresdner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477947091 PECOS PAC ID: 7618225640 Enrollment ID: I20180807002040 |
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