| Long Island City Psychotherapy Services Lcsw, Pc | |
|
301 27th Ave Long Island City NY 11102-4616 | |
| (718) 721-0606 | |
| (718) 204-5481 |
| Full Name | Long Island City Psychotherapy Services Lcsw, Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 301 27th Ave, Long Island City, New York |
| Authorized Official Name and Position | Muriel Dethomas (PRESIDENT) |
| Authorized Official Contact | 7187210606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island City Psychotherapy Services Lcsw, Pc 301 27th Ave Long Island City NY 11102-4616 Ph: (718) 721-0606 | Long Island City Psychotherapy Services Lcsw, Pc 301 27th Ave Long Island City NY 11102-4616 Ph: (718) 721-0606 |
| NPI Number | 1669730826 |
|---|---|
| Provider Enumeration Date | 04/25/2012 |
| Last Update Date | 04/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669730826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | R006721 (New York) | Primary |
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