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NPI Code Detail

MEDICARE: MS. YAEL MENAHEM LCSW

MEDICARE: MS. YAEL MENAHEM 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
11041C0700XClinical Social Worker081543-1NY

Other Identifiers

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

General Provider Information

NPI Number : 1487912648
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. YAEL MENAHEM LCSW
Provider Business Mailing Address
First Line : 350 BLEECKER ST
Second Line : #4G
City : NEW YORK
State : NY
Zip : 10014-2602
Country : US
Telephone Number : 917-214-0072
Fax Number :
Provider Business Practice Location Address
First Line : 30 W 8TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10011-9002
Country : US
Telephone Number : 212-725-7850
Fax Number : 212-689-3212
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2012
Last Update Date : 02/11/2014

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