Healthcare Provider Details

I. General information

NPI: 1194900308
Provider Name (Legal Business Name): RONA D. OKIN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2008
Last Update Date: 01/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 E 80TH ST SUITE 3A
NEW YORK NY
10075-0736
US

IV. Provider business mailing address

511 E 80TH ST SUITE LH
NEW YORK NY
10075-0736
US

V. Phone/Fax

Practice location:
  • Phone: 212-772-3525
  • Fax: 212-794-2158
Mailing address:
  • Phone: 212-772-3525
  • Fax: 212-794-2158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberRO35310
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: