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NPI Code Detail

MEDICARE: NADI DENISENKO LMHC, LMFT

MEDICARE:   NADI  DENISENKO  LMHC, LMFT
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
1101YM0800XMental Health Counselor37PC00310300NJ
2101YA0400XAddiction (Substance Use Disorder) Counselor12206NY
3101YM0800XMental Health Counselor0029011NY
4106H00000XMarriage & Family Therapist0005241NY

General Provider Information

NPI Number : 1598093528
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADI DENISENKO LMHC, LMFT
Provider Business Mailing Address
First Line : 576 73RD ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-2612
Country : US
Telephone Number : 917-533-6630
Fax Number :
Provider Business Practice Location Address
First Line : 6415 BAY PKWY
Second Line : NEW YORK PHYCIATRIC SERVICES
City : BROOKLYN
State : NY
Zip : 11204-3947
Country : US
Telephone Number : 718-331-3800
Fax Number : 718-331-3387
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2009
Last Update Date : 12/02/2009

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Directions to “ NADI DENISENKO LMHC, LMFT” Practice Location

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