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NPI Code Detail

MEDICARE: BETSY BALKIND LCSW

MEDICARE: BETSY BALKIND 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
1104100000XSocial Worker092952-1NY
2104100000XSocial Worker1062213NY
3104100000XSocial Worker089725NY

General Provider Information

NPI Number : 1932649068
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETSY BALKIND LCSW
Provider Business Mailing Address
First Line : 169 W 133RD ST
Second Line :
City : NEW YORK
State : NY
Zip : 10030-3301
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 169 W 133RD ST
Second Line :
City : NEW YORK
State : NY
Zip : 10030-3301
Country : US
Telephone Number : 646-762-4950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2017
Last Update Date : 08/12/2020

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