| Janie Eisenberg, Lcsw, Pllc | |
|
24 Charlton Street New York NY 10014-4923 | |
| (212) 243-1086 | |
| (212) 243-6834 |
| Full Name | Janie Eisenberg, Lcsw, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 24 Charlton Street, New York, New York |
| Authorized Official Name and Position | Janie Eisenberg (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2122431086 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Janie Eisenberg, Lcsw, Pllc 24 Charlton St New York NY 10014-4923 Ph: (212) 243-1086 | Janie Eisenberg, Lcsw, Pllc 24 Charlton Street New York NY 10014-4923 Ph: (212) 243-1086 |
| NPI Number | 1295976553 |
|---|---|
| Provider Enumeration Date | 03/17/2009 |
| Last Update Date | 03/17/2009 |
| Medicare PECOS PAC ID | 9234296187 |
|---|---|
| Medicare Enrollment ID | O20090320000535 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295976553 | NPI | - | NPPES |
| 02690480 | Medicaid | NY | |
| P2578124 | Other | NY | OXFORD HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | R038355-1 (New York) | Primary |
| Provider Name | Janie Eisenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104918317 PECOS PAC ID: 2668468091 Enrollment ID: I20040421001848 |
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