Manhattan Counseling Lcsw Pc | |
411 Lafayette St Suite # 638 New York NY 10003-7032 | |
(646) 733-6529 | |
(646) 774-0385 |
Full Name | Manhattan Counseling Lcsw Pc |
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Speciality | Community/Behavioral Health |
Location | 411 Lafayette St, New York, New York |
Authorized Official Name and Position | Niraj Shyamkishor Delhiwala (PRESIDENT) |
Authorized Official Contact | 6467336529 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Manhattan Counseling Lcsw Pc 8515 Main St Suite. 8g Jamaica NY 11435-1879 Ph: (646) 733-6529 | Manhattan Counseling Lcsw Pc 411 Lafayette St Suite # 638 New York NY 10003-7032 Ph: (646) 733-6529 |
NPI Number | 1396083614 |
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Provider Enumeration Date | 01/21/2013 |
Last Update Date | 12/20/2016 |
Medicare PECOS PAC ID | 7719124114 |
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Medicare Enrollment ID | O20130502000019 |
Identifier | Type | State | Issuer |
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1396083614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | 079598-1 (New York) | Primary |
Provider Name | Niraj S Delhiwala |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932340965 PECOS PAC ID: 2163669565 Enrollment ID: I20130502000045 |
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