| Eddie Pabon, Lcsw, Pllc | |
|
26 W 9th St Apt 6c New York NY 10011-8922 | |
| (917) 751-5596 | |
| Not Available |
| Full Name | Eddie Pabon, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 26 W 9th St Apt 6c, New York, New York |
| Authorized Official Name and Position | Eddie Pabon (PRESIDENT) |
| Authorized Official Contact | 9177515596 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eddie Pabon, Lcsw, Pllc 3121 Middletown Rd Apt 4n Bronx NY 10461-5318 Ph: (917) 751-5596 | Eddie Pabon, Lcsw, Pllc 26 W 9th St Apt 6c New York NY 10011-8922 Ph: (917) 751-5596 |
| NPI Number | 1881260529 |
|---|---|
| Provider Enumeration Date | 06/02/2021 |
| Last Update Date | 06/03/2021 |
| Certification Date | 06/03/2021 |
| Medicare PECOS PAC ID | 6002216165 |
|---|---|
| Medicare Enrollment ID | O20210610001594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881260529 | NPI | - | NPPES |
| 1962644823 | Other | NPI | |
| 080720 | Other | NY | LCSW LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Eddie Pabon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962644823 PECOS PAC ID: 4789907924 Enrollment ID: I20141219001338 |
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