Kapwa Psychotherapy, Pllc | |
10524 63rd Dr Apt 1j Forest Hills NY 11375-1636 | |
(646) 643-0796 | |
Not Available |
Full Name | Kapwa Psychotherapy, Pllc |
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Speciality | Social Worker - Clinical |
Location | 10524 63rd Dr Apt 1j, Forest Hills, New York |
Authorized Official Name and Position | Tristan Vizconde (LCSW) |
Authorized Official Contact | 6466430796 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kapwa Psychotherapy, Pllc 1080 Old Country Rd # 1053 Westbury NY 11590-5625 Ph: () - | Kapwa Psychotherapy, Pllc 10524 63rd Dr Apt 1j Forest Hills NY 11375-1636 Ph: (646) 643-0796 |
NPI Number | 1144054008 |
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Provider Enumeration Date | 08/31/2024 |
Last Update Date | 08/31/2024 |
Certification Date | 08/31/2024 |
Identifier | Type | State | Issuer |
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1144054008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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