| Hudson Lcsw Group, Pllc | |
|
180 S Broadway Suite 309 White Plains NY 10605-1818 | |
| (914) 843-0300 | |
| Not Available |
| Full Name | Hudson Lcsw Group, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 180 S Broadway, White Plains, New York |
| Authorized Official Name and Position | Daniel Fellows (MEMBER) |
| Authorized Official Contact | 9148430300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Lcsw Group, Pllc 180 S Broadway Suite 309 White Plains NY 10605-1818 Ph: () - | Hudson Lcsw Group, Pllc 180 S Broadway Suite 309 White Plains NY 10605-1818 Ph: (914) 843-0300 |
| NPI Number | 1457711459 |
|---|---|
| Provider Enumeration Date | 03/03/2016 |
| Last Update Date | 03/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457711459 | NPI | - | NPPES |
| 1255663654 | Other | NY | BLUE CROSS BLUE SHEILD |
| 1902215205 | Other | NY | BLUE CROSS BLUE SHEILD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 082263 (New York) | Primary |
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