| Iv Licensed Clinical Social Work P.c. | |
|
4812 Bedford Ave Apt 1a Brooklyn NY 11235-8603 | |
| (718) 234-1212 | |
| Not Available |
| Full Name | Iv Licensed Clinical Social Work P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4812 Bedford Ave, Brooklyn, New York |
| Authorized Official Name and Position | Irina Voskoboynik (PRESIDENT) |
| Authorized Official Contact | 7182884770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iv Licensed Clinical Social Work P.c. 4812 Bedford Ave Apt 1a Brooklyn NY 11235-8603 Ph: (718) 234-1212 | Iv Licensed Clinical Social Work P.c. 4812 Bedford Ave Apt 1a Brooklyn NY 11235-8603 Ph: (718) 234-1212 |
| NPI Number | 1295188076 |
|---|---|
| Provider Enumeration Date | 07/18/2016 |
| Last Update Date | 07/18/2016 |
| Medicare PECOS PAC ID | 3274815287 |
|---|---|
| Medicare Enrollment ID | O20170127001698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295188076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 069657 (New York) | Primary |
| Provider Name | Irina Voskoboynik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457371783 PECOS PAC ID: 9931116589 Enrollment ID: I20060308000144 |
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