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NPI Code Detail

MEDICARE: MISS HATSUKO OTSUKA LCSW

MEDICARE: MISS HATSUKO OTSUKA 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
1101YA0400XAddiction (Substance Use Disorder) Counselor064405NY
2101YM0800XMental Health Counselor
31041C0700XClinical Social Worker083007-01NY

General Provider Information

NPI Number : 1689801375
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS HATSUKO OTSUKA LCSW
Provider Business Mailing Address
First Line : 120 OLD POST RD PH C406
Second Line :
City : RYE
State : NY
Zip : 10580-1678
Country : US
Telephone Number : 646-239-9641
Fax Number :
Provider Business Practice Location Address
First Line : 760 E 160TH ST
Second Line :
City : BRONX
State : NY
Zip : 10456-7815
Country : US
Telephone Number : 347-503-5527
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2009
Last Update Date : 09/10/2025

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Directions to “ MISS HATSUKO OTSUKA LCSW” Practice Location

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