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NPI Code Detail

MEDICARE: MS. LINDA C PITAGORSKY LCSW, M.S.

MEDICARE: MS. LINDA C PITAGORSKY LCSW, M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorR030840-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1R030840-1OTHERNYCSW LICENSE

General Provider Information

NPI Number : 1194876532
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA C PITAGORSKY LCSW, M.S.
Provider Business Mailing Address
First Line : 160 E 38TH ST
Second Line : 32D
City : NEW YORK
State : NY
Zip : 10016-2651
Country : US
Telephone Number : 212-685-3235
Fax Number : 212-481-0344
Provider Business Practice Location Address
First Line : 16 E 41ST ST
Second Line : 4B
City : NEW YORK
State : NY
Zip : 10017-6217
Country : US
Telephone Number : 212-685-3235
Fax Number : 212-481-0344
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2007
Last Update Date : 07/08/2007

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