| 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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