MEDICARE: ACKERMAN INSTITUTE FOR THE FAMILY

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	106H00000X	Marriage & Family Therapist	6695100A	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467505792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACKERMAN INSTITUTE FOR THE FAMILY

Provider Business Mailing Address
First Line	:	936 BROADWAY FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-8104
Country	:	US
Telephone Number	:	212-879-4900
Fax Number	:	212-744-0206

Provider Business Practice Location Address
First Line	:	936 BROADWAY FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-8104
Country	:	US
Telephone Number	:	212-879-4900
Fax Number	:	212-744-0206

Authorized Official
Title or Position	:	PRESIDENT CEO
Name	:	MS. LOIS BRAVERMAN
Credential	:	MSW
Telephone Number	:	212-879-4900

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	02/12/2015

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Directions to “ACKERMAN INSTITUTE FOR THE FAMILY ” Practice Location

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