MEDICARE: MS. BETHANY C. PARR-TRONSKY LCSW.

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
1	1041C0700X	Clinical Social Worker	R049980	NY
2	1041C0700X	Clinical Social Worker	R049980-1	NY

General Provider Information

NPI Number	:	1326021924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BETHANY C. PARR-TRONSKY LCSW.

Provider Business Mailing Address
First Line	:	3001 HENRY HUDSON PKWY
Second Line	:	APT 6B
City	:	BRONX
State	:	NY
Zip	:	10463-4728
Country	:	US
Telephone Number	:	917-318-7443
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 HENRY HUDSON PKWY
Second Line	:	APT 6B
City	:	BRONX
State	:	NY
Zip	:	10463-4728
Country	:	US
Telephone Number	:	917-318-7443
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	08/23/2020

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