Healthcare Provider Details

I. General information

NPI: 1336265479
Provider Name (Legal Business Name): LEE RIMSKY LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 03/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 W END AVE APT 9D
NEW YORK NY
10025-8437
US

IV. Provider business mailing address

845 W END AVE APT 9D
NEW YORK NY
10025-8437
US

V. Phone/Fax

Practice location:
  • Phone: 212-280-0982
  • Fax:
Mailing address:
  • Phone: 212-280-0982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number074502-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: