Hyacinth Lcsw Services P.c. | |
222 N Broadway Apt 5c Yonkers NY 10701-2617 | |
(917) 561-6321 | |
Not Available |
Full Name | Hyacinth Lcsw Services P.c. |
---|---|
Speciality | Social Worker - Clinical |
Location | 222 N Broadway Apt 5c, Yonkers, New York |
Authorized Official Name and Position | Patricia Antionette Gray (OWNER) |
Authorized Official Contact | 9175616321 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hyacinth Lcsw Services P.c. 222 N Broadway Apt 5c Yonkers NY 10701-2617 Ph: (917) 561-6321 | Hyacinth Lcsw Services P.c. 222 N Broadway Apt 5c Yonkers NY 10701-2617 Ph: (917) 561-6321 |
NPI Number | 1124626692 |
---|---|
Provider Enumeration Date | 10/15/2020 |
Last Update Date | 12/28/2020 |
Certification Date | 12/28/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124626692 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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