| Embodimend Llc | |
|
42 College Ave Sleepy Hollow NY 10591-2799 | |
| (347) 460-0761 | |
| Not Available |
| Full Name | Embodimend Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 42 College Ave, Sleepy Hollow, New York |
| Authorized Official Name and Position | Cristal Regalado (CLINICIAN) |
| Authorized Official Contact | 3474600761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embodimend Llc 42 College Ave Sleepy Hollow NY 10591-2799 Ph: (347) 460-0761 | Embodimend Llc 42 College Ave Sleepy Hollow NY 10591-2799 Ph: (347) 460-0761 |
| NPI Number | 1942972922 |
|---|---|
| Provider Enumeration Date | 09/29/2021 |
| Last Update Date | 09/29/2021 |
| Certification Date | 09/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942972922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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