Marie Rothschild Lcsw Pllc | |
142 W End Ave Apt 17n New York NY 10023-6103 | |
(516) 536-2953 | |
Not Available |
Full Name | Marie Rothschild Lcsw Pllc |
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Speciality | Social Worker |
Location | 142 W End Ave, New York, New York |
Authorized Official Name and Position | Marie Rothschild (OWNER) |
Authorized Official Contact | 5165362953 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marie Rothschild Lcsw Pllc 142 W End Ave Apt 17n New York NY 10023-6103 Ph: () - | Marie Rothschild Lcsw Pllc 142 W End Ave Apt 17n New York NY 10023-6103 Ph: (516) 536-2953 |
NPI Number | 1215366018 |
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Provider Enumeration Date | 11/02/2013 |
Last Update Date | 11/02/2013 |
Medicare PECOS PAC ID | 9739315391 |
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Medicare Enrollment ID | O20131204000905 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215366018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | R019864-1 (New York) | Primary |
Provider Name | Marie H Rothschild |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700067030 PECOS PAC ID: 8022025469 Enrollment ID: I20060309000684 |
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