Tri State Counseling And Mediation Lcsw Pllc | |
38 W 32nd St Ste 1511 New York NY 10001-3875 | |
(917) 215-2169 | |
(801) 708-0844 |
Full Name | Tri State Counseling And Mediation Lcsw Pllc |
---|---|
Speciality | Social Worker |
Location | 38 W 32nd St Ste 1511, New York, New York |
Authorized Official Name and Position | Vasudeva Chikkatur Murthy (PRESIDENT) |
Authorized Official Contact | 6465232352 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tri State Counseling And Mediation Lcsw Pllc 25403 84th Dr Registered Office Floral Park NY 11001-1009 Ph: (646) 523-2352 | Tri State Counseling And Mediation Lcsw Pllc 38 W 32nd St Ste 1511 New York NY 10001-3875 Ph: (917) 215-2169 |
NPI Number | 1487738761 |
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Provider Enumeration Date | 10/24/2006 |
Last Update Date | 06/11/2020 |
Certification Date | 06/11/2020 |
Medicare PECOS PAC ID | 9335243880 |
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Medicare Enrollment ID | O20151204000966 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487738761 | NPI | - | NPPES |
16168101 | Other | NY | AETNA |
37199P | Other | NY | HIP NEW YORK |
579069 | Other | NY | VALUE OPTIONS PROVIDER |
0152427 | Other | GHI | |
02861356 | Medicaid | NY | |
2324784 | Other | NY | CIGNA BEHAVIORAL PROVIDER |
R044004 | Other | NY | METROPLUS |
Provider Name | Vasudeva C Murthy |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497859599 PECOS PAC ID: 7315040466 Enrollment ID: I20070312000163 |
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