| Md Consultation Lcsw Pc | |
|
3457 82nd St Jackson Heights NY 11372-2939 | |
| (718) 310-0598 | |
| Not Available |
| Full Name | Md Consultation Lcsw Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3457 82nd St, Jackson Heights, New York |
| Authorized Official Name and Position | Myrna Diptee (PRESIDENT) |
| Authorized Official Contact | 7183100598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Md Consultation Lcsw Pc 3457 82nd St Jackson Heights NY 11372-2939 Ph: () - | Md Consultation Lcsw Pc 3457 82nd St Jackson Heights NY 11372-2939 Ph: (718) 310-0598 |
| NPI Number | 1396136420 |
|---|---|
| Provider Enumeration Date | 02/11/2015 |
| Last Update Date | 05/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396136420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 071211 (New York) | Primary |
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