Miriam Quilan Lcsw Pllc | |
120 Casals Pl Apt 32k Bronx NY 10475-3133 | |
(929) 288-6842 | |
(917) 591-4505 |
Full Name | Miriam Quilan Lcsw Pllc |
---|---|
Speciality | Social Worker |
Location | 120 Casals Pl Apt 32k, Bronx, New York |
Authorized Official Name and Position | Jessica Ileene Mojica (OFFICE MANAGER) |
Authorized Official Contact | 6468440518 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Miriam Quilan Lcsw Pllc 1850 Lafayette Ave Apt 6e Bronx NY 10473-2837 Ph: (646) 844-0518 | Miriam Quilan Lcsw Pllc 120 Casals Pl Apt 32k Bronx NY 10475-3133 Ph: (929) 288-6842 |
NPI Number | 1639814817 |
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Provider Enumeration Date | 05/02/2022 |
Last Update Date | 05/02/2022 |
Certification Date | 05/02/2022 |
Medicare PECOS PAC ID | 0547613580 |
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Medicare Enrollment ID | O20240126000356 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639814817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Miriam Quilan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033179742 PECOS PAC ID: 0648318089 Enrollment ID: I20091105000245 |
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