Guru Counseling Lcsw, Pllc | |
100 Church St Rm 800 New York NY 10007-2621 | |
(212) 716-1193 | |
(212) 522-9971 |
Full Name | Guru Counseling Lcsw, Pllc |
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Speciality | Social Worker |
Location | 100 Church St Rm 800, New York, New York |
Authorized Official Name and Position | Eric M Losada (OWNER/CEO) |
Authorized Official Contact | 6466319103 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Guru Counseling Lcsw, Pllc 715 W 172nd St Apt 1 New York NY 10032-1723 Ph: (646) 631-9103 | Guru Counseling Lcsw, Pllc 100 Church St Rm 800 New York NY 10007-2621 Ph: (212) 716-1193 |
NPI Number | 1114706355 |
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Provider Enumeration Date | 09/27/2023 |
Last Update Date | 01/12/2025 |
Certification Date | 01/12/2025 |
Medicare PECOS PAC ID | 6800241621 |
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Medicare Enrollment ID | O20231016000646 |
Identifier | Type | State | Issuer |
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1114706355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Eric M Losada |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114151495 PECOS PAC ID: 7012327042 Enrollment ID: I20201103002119 |
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