| Contemporary Psychotherapy Lcsw Pc | |
|
407 Father Capodanno Blvd Staten Island NY 10305-4242 | |
| (347) 661-5006 | |
| Not Available |
| Full Name | Contemporary Psychotherapy Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 407 Father Capodanno Blvd, Staten Island, New York |
| Authorized Official Name and Position | Faina Solominskaya (OWNER) |
| Authorized Official Contact | 3476615006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Contemporary Psychotherapy Lcsw Pc 407 Father Capodanno Blvd Staten Island NY 10305-4242 Ph: (347) 661-5006 | Contemporary Psychotherapy Lcsw Pc 407 Father Capodanno Blvd Staten Island NY 10305-4242 Ph: (347) 661-5006 |
| NPI Number | 1306297700 |
|---|---|
| Provider Enumeration Date | 06/27/2016 |
| Last Update Date | 06/27/2016 |
| Medicare PECOS PAC ID | 2466749742 |
|---|---|
| Medicare Enrollment ID | O20160930000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306297700 | NPI | - | NPPES |
| 071015 | Other | NY | LISCENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 071015 (New York) | Primary |
| Provider Name | Faina Solominskaya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063513935 PECOS PAC ID: 4183649452 Enrollment ID: I20051006000421 |
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