| Zeylikman | |
|
1414 Avenue P Brooklyn NY 11229-1110 | |
| (917) 208-4037 | |
| Not Available |
| Full Name | Zeylikman |
|---|---|
| Speciality | Social Worker |
| Location | 1414 Avenue P, Brooklyn, New York |
| Authorized Official Name and Position | Irina Zeylikman (LCSW-R) |
| Authorized Official Contact | 9172084037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zeylikman 35 Corbin Pl Brooklyn NY 11235-4801 Ph: (917) 208-4037 | Zeylikman 1414 Avenue P Brooklyn NY 11229-1110 Ph: (917) 208-4037 |
| NPI Number | 1447858881 |
|---|---|
| Provider Enumeration Date | 10/16/2020 |
| Last Update Date | 09/13/2021 |
| Certification Date | 09/13/2021 |
| Medicare PECOS PAC ID | 9133525389 |
|---|---|
| Medicare Enrollment ID | O20210914000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447858881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Irina Zeylikman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093728917 PECOS PAC ID: 8820076300 Enrollment ID: I20051013000324 |
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