MEDICARE: TONA THERAPY, 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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1902688393
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TONA THERAPY, LCSW, PLLC

Provider Business Mailing Address
First Line	:	800 3RD AVE STE A1417
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-7649
Country	:	US
Telephone Number	:	929-445-4403
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 3RD AVE STE A1417
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-7649
Country	:	US
Telephone Number	:	929-445-4403
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NUREEN WOHL
Credential	:	LCSW
Telephone Number	:	929-445-4403

Provider Enumeration Date	:	10/19/2023
Last Update Date	:	10/19/2023

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