| Linnar Ortalan, Lcsw, Pc | |
|
4150 Richmond Ave Staten Island NY 10312 | |
| (718) 608-5919 | |
| Not Available |
| Full Name | Linnar Ortalan, Lcsw, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 4150 Richmond Ave, Staten Island, New York |
| Authorized Official Name and Position | Linnar Ortalan (OWNER OF THE CORPORATION) |
| Authorized Official Contact | 7186085908 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Linnar Ortalan, Lcsw, Pc 83 Pemberton Ave Staten Island NY 10308 Ph: (718) 608-5919 | Linnar Ortalan, Lcsw, Pc 4150 Richmond Ave Staten Island NY 10312 Ph: (718) 608-5919 |
| NPI Number | 1215255625 |
|---|---|
| Provider Enumeration Date | 05/10/2010 |
| Last Update Date | 05/13/2010 |
| Medicare PECOS PAC ID | 0840487088 |
|---|---|
| Medicare Enrollment ID | O20101214000430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215255625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R037127 (New York) | Primary |
| Provider Name | Linnar Ortalan-ozbilge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407825698 PECOS PAC ID: 5890864789 Enrollment ID: I20080519000341 |
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