Kone Comfort Therapist Lcsw, Pllc | |
397 Bridge St Brooklyn NY 11201-5292 | |
(917) 945-0067 | |
Not Available |
Full Name | Kone Comfort Therapist Lcsw, Pllc |
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Speciality | Social Worker |
Location | 397 Bridge St, Brooklyn, New York |
Authorized Official Name and Position | Angelina Marianna Kone (OWNER) |
Authorized Official Contact | 9179450067 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kone Comfort Therapist Lcsw, Pllc 4155 Bruner Ave Bronx NY 10466-2027 Ph: (917) 945-0067 | Kone Comfort Therapist Lcsw, Pllc 397 Bridge St Brooklyn NY 11201-5292 Ph: (917) 945-0067 |
NPI Number | 1871269571 |
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Provider Enumeration Date | 08/22/2021 |
Last Update Date | 08/22/2021 |
Certification Date | 08/22/2021 |
Medicare PECOS PAC ID | 9931559549 |
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Medicare Enrollment ID | O20231222000588 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871269571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Angelina Marianna Kone |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356700959 PECOS PAC ID: 3577994292 Enrollment ID: I20200513002712 |
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