| Park Therapy Lcsw, Pllc | |
|
137 W 24th St Ste 300 New York NY 10011-1901 | |
| (917) 951-7969 | |
| Not Available |
| Full Name | Park Therapy Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 137 W 24th St Ste 300, New York, New York |
| Authorized Official Name and Position | Maryann Fazio Heimrath (MEMBER-MANAGER) |
| Authorized Official Contact | 9179517969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Therapy Lcsw, Pllc 137 W 24th St Ste 300 New York NY 10011-1901 Ph: () - | Park Therapy Lcsw, Pllc 137 W 24th St Ste 300 New York NY 10011-1901 Ph: (917) 951-7969 |
| NPI Number | 1356163760 |
|---|---|
| Provider Enumeration Date | 10/28/2024 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356163760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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