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NPI Code Detail

MEDICARE: EFFECTIVE PATHWAYS PSYCHOTHERAPY SERVICES LCSW PLLC

MEDICARE: EFFECTIVE PATHWAYS PSYCHOTHERAPY SERVICES LCSW PLLC
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1316595978
Entity Type Code : Organization
Provider Name (Legal Business Name) : EFFECTIVE PATHWAYS PSYCHOTHERAPY SERVICES LCSW PLLC
Provider Business Mailing Address
First Line : 44 BENNETT AVE APT 5I
Second Line :
City : NEW YORK
State : NY
Zip : 10033-2132
Country : US
Telephone Number : 212-568-0114
Fax Number :
Provider Business Practice Location Address
First Line : 1 BLUE HILL PLZ STE 1509
Second Line :
City : PEARL RIVER
State : NY
Zip : 10965-3165
Country : US
Telephone Number : 845-502-1343
Fax Number :
Authorized Official
Title or Position : SOLE MEMBER
Name : URI COHEN
Credential : LCSW
Telephone Number : 212-568-0114
Provider Enumeration Date : 08/27/2019
Last Update Date : 08/27/2019

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Directions to “EFFECTIVE PATHWAYS PSYCHOTHERAPY SERVICES LCSW PLLC ” Practice Location

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