Our Kitchen Table | |
40 Exchange Pl Frnt 3 New York NY 10005-2877 | |
(646) 991-7295 | |
Not Available |
Full Name | Our Kitchen Table |
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Speciality | Counselor - Mental Health |
Location | 40 Exchange Pl Frnt 3, New York, New York |
Authorized Official Name and Position | Karly Rodriguez (COUNSELOR) |
Authorized Official Contact | 6466332420 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Our Kitchen Table 549 Isham St New York NY 10034-2121 Ph: (201) 966-7873 | Our Kitchen Table 40 Exchange Pl Frnt 3 New York NY 10005-2877 Ph: (646) 991-7295 |
NPI Number | 1992393276 |
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Provider Enumeration Date | 01/04/2021 |
Last Update Date | 01/04/2021 |
Certification Date | 10/29/2020 |
Identifier | Type | State | Issuer |
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1992393276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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