MEDICARE: JULIA PERKEL 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
1	101Y00000X	Counselor	083070	NY

General Provider Information

NPI Number	:	1255783007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA PERKEL LCSW

Provider Business Mailing Address
First Line	:	4867 BROADWAY STE 924
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10034-4916
Country	:	US
Telephone Number	:	929-399-7066
Fax Number	:

Provider Business Practice Location Address
First Line	:	4768 BROADWAY STE 924
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10034-4916
Country	:	US
Telephone Number	:	929-399-7066
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2016
Last Update Date	:	07/08/2024

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