| Eastern Sky Psychotherapy Lcsw Pc | |
|
2056 E 61st St Fl 1 Brooklyn NY 11234-5908 | |
| (929) 545-0653 | |
| Not Available |
| Full Name | Eastern Sky Psychotherapy Lcsw Pc |
|---|---|
| Speciality | Counselor |
| Location | 2056 E 61st St Fl 1, Brooklyn, New York |
| Authorized Official Name and Position | Ekaterina Lubrano (THERAPIST) |
| Authorized Official Contact | 9295450653 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Sky Psychotherapy Lcsw Pc 2056 E 61st St Fl 1 Brooklyn NY 11234-5908 Ph: (929) 545-0653 | Eastern Sky Psychotherapy Lcsw Pc 2056 E 61st St Fl 1 Brooklyn NY 11234-5908 Ph: (929) 545-0653 |
| NPI Number | 1467111369 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 12/08/2021 |
| Certification Date | 12/08/2021 |
| Medicare PECOS PAC ID | 0840682829 |
|---|---|
| Medicare Enrollment ID | O20220125001682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467111369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ekaterina Lubrano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306271267 PECOS PAC ID: 1759773732 Enrollment ID: I20220125001748 |
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