Selfworks Group: Therapy Professionals | |
1140 Broadway Rm 204 New York NY 10001-7504 | |
(646) 535-1298 | |
Not Available |
Full Name | Selfworks Group: Therapy Professionals |
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Speciality | Psychologist - Clinical |
Location | 1140 Broadway Rm 204, New York, New York |
Authorized Official Name and Position | Amy Y Vigliotti (FOUNDER/CEO) |
Authorized Official Contact | 6465351298 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Selfworks Group: Therapy Professionals 1140 Broadway Rm 204 New York NY 10001-7504 Ph: (646) 535-1298 | Selfworks Group: Therapy Professionals 1140 Broadway Rm 204 New York NY 10001-7504 Ph: (646) 535-1298 |
NPI Number | 1891337903 |
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Provider Enumeration Date | 10/09/2019 |
Last Update Date | 10/09/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891337903 | NPI | - | NPPES |
1417198581 | Other | INDIVIDUAL NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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