|
| |
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299 Broadway Ste 1115 New York NY 10007-1901 | |
| (646) 250-8212 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 299 Broadway Ste 1115, New York, New York |
| Authorized Official Name and Position | Linda Garcia-rose (OWNER) |
| Authorized Official Contact | 6462508212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
20 River Ter Apt 19b New York NY 10282-1215 Ph: (646) 250-8212 | 299 Broadway Ste 1115 New York NY 10007-1901 Ph: (646) 250-8212 |
| NPI Number | 1336781962 |
|---|---|
| Provider Enumeration Date | 10/15/2019 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336781962 | NPI | - | NPPES |
| 1427642560 | Medicaid | NY | |
| 1346692506 | Medicaid | NY | |
| 1699407320 | Medicaid | NY | |
| 1215536354 | Medicaid | NY | |
| 1306000682 | Medicaid | NY | |
| 1336781962 | Medicaid | NY | |
| 1679013379 | Medicaid | NY | |
| 1033650171 | Medicaid | NY | |
| 1447610092 | Medicaid | NY | |
| 1518675602 | Medicaid | NY | |
| 1740787308 | Medicaid | NY | |
| 1366918021 | Medicaid | NY | |
| 1245561935 | Medicaid | NY | |
| 1801236120 | Medicaid | NY | |
| 1649979535 | Medicaid | NY | |
| 1649984337 | Medicaid | NY | |
| 1932633757 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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