| Mary E Genkins Dsw Lcsw Pc | |
|
430 E 63rd St Apt 12l New York NY 10065-7994 | |
| (212) 838-9257 | |
| (212) 207-6615 |
| Full Name | Mary E Genkins Dsw Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 430 E 63rd St, New York, New York |
| Authorized Official Name and Position | Mary Eleanor Genkins (PRESIDENT) |
| Authorized Official Contact | 2128389257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary E Genkins Dsw Lcsw Pc 430 E 63rd St Apt 12l New York NY 10065-7994 Ph: (212) 838-9257 | Mary E Genkins Dsw Lcsw Pc 430 E 63rd St Apt 12l New York NY 10065-7994 Ph: (212) 838-9257 |
| NPI Number | 1003145673 |
|---|---|
| Provider Enumeration Date | 12/10/2009 |
| Last Update Date | 09/19/2012 |
| Medicare PECOS PAC ID | 7416105051 |
|---|---|
| Medicare Enrollment ID | O20120924000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003145673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | PR020236-1 (New York) | Primary |
| Provider Name | Mary E Genkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831322080 PECOS PAC ID: 2264680818 Enrollment ID: I20120924000658 |
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