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General NPI Number Information
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NPI Number | 1063145118
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Entity Type | Organization
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Legal Business Name | BETH MANITSKY
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | THE PRESIDENTIAL OFFICE SUITES, 641 PRESIDENT STREET SUITE 105
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City | BROOKLYN
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State | NY
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Zip | 11215-1186
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Country | US
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Telephone | 917-804-1074
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Fax |
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Provider Business Mailing Address
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Address Line | 515 17TH ST APT 1
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City | BROOKLYN
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State | NY
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Zip | 11215-6060
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Country | US
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Telephone | 917-804-1074
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BETH MANITSKY
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Credential | LCSW
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Telephone | 917-804-1074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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