| Yaglom Psychotherapy L.c.s.w Pc | |
|
775 Westminster Rd Brooklyn NY 11230-2401 | |
| (917) 476-3723 | |
| Not Available |
| Full Name | Yaglom Psychotherapy L.c.s.w Pc |
|---|---|
| Speciality | Social Worker |
| Location | 775 Westminster Rd, Brooklyn, New York |
| Authorized Official Name and Position | Masha Yaglom (PRESIDENT) |
| Authorized Official Contact | 9174763723 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yaglom Psychotherapy L.c.s.w Pc 775 Westminster Rd Brooklyn NY 11230-2401 Ph: (917) 476-3723 | Yaglom Psychotherapy L.c.s.w Pc 775 Westminster Rd Brooklyn NY 11230-2401 Ph: (917) 476-3723 |
| NPI Number | 1336689843 |
|---|---|
| Provider Enumeration Date | 03/02/2017 |
| Last Update Date | 03/02/2017 |
| Medicare PECOS PAC ID | 4385920958 |
|---|---|
| Medicare Enrollment ID | O20170413001558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336689843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R045326-1 (New York) | Primary |
| Provider Name | Masha M Yaglom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851452700 PECOS PAC ID: 9739284969 Enrollment ID: I20070417000687 |
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