| Kimberly Orth Lcsw Pc | |
|
170 Tredwell Ave Saint James NY 11780-2814 | |
| (516) 263-2672 | |
| Not Available |
| Full Name | Kimberly Orth Lcsw Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 170 Tredwell Ave, Saint James, New York |
| Authorized Official Name and Position | Kimberly Orth (PRESIDENT) |
| Authorized Official Contact | 5162632672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Orth Lcsw Pc Po Box 174 Saint James NY 11780-0174 Ph: () - | Kimberly Orth Lcsw Pc 170 Tredwell Ave Saint James NY 11780-2814 Ph: (516) 263-2672 |
| NPI Number | 1750019733 |
|---|---|
| Provider Enumeration Date | 08/09/2022 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750019733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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