| Fieldston Counseling, Lcsw, Pllc | |
|
3265 Johnson Ave Ste 100 Bronx NY 10463-3539 | |
| (646) 204-6755 | |
| (646) 893-7767 |
| Full Name | Fieldston Counseling, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 3265 Johnson Ave Ste 100, Bronx, New York |
| Authorized Official Name and Position | Ingrid Sharon Nunez (OWNER) |
| Authorized Official Contact | 9175874819 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fieldston Counseling, Lcsw, Pllc 3265 Johnson Ave Ste 100 Bronx NY 10463-3539 Ph: (646) 204-6755 | Fieldston Counseling, Lcsw, Pllc 3265 Johnson Ave Ste 100 Bronx NY 10463-3539 Ph: (646) 204-6755 |
| NPI Number | 1790302438 |
|---|---|
| Provider Enumeration Date | 06/29/2020 |
| Last Update Date | 10/20/2022 |
| Certification Date | 03/10/2021 |
| Medicare PECOS PAC ID | 7012380959 |
|---|---|
| Medicare Enrollment ID | O20230224000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790302438 | NPI | - | NPPES |
| Provider Name | Ingrid Sharon Nunez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992136501 PECOS PAC ID: 6901162262 Enrollment ID: I20171102002400 |
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