Healthcare Provider Details

I. General information

NPI: 1720595523
Provider Name (Legal Business Name): AYNUR TOKAT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2018
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 W 64TH ST
NEW YORK NY
10023-6402
US

IV. Provider business mailing address

250 W 64TH ST
NEW YORK NY
10023-6402
US

V. Phone/Fax

Practice location:
  • Phone: 212-769-6324
  • Fax:
Mailing address:
  • Phone: 212-769-6324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number080912-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: