| R Raymond Tartakoff Lcsw Pc | |
|
216 Continental Rd Napanoch NY 12458-2602 | |
| (845) 647-2112 | |
| Not Available |
| Full Name | R Raymond Tartakoff Lcsw Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 216 Continental Rd, Napanoch, New York |
| Authorized Official Name and Position | R Raymond Tartakoff (OWNER/GM) |
| Authorized Official Contact | 8456472112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R Raymond Tartakoff Lcsw Pc 216 Continental Rd Napanoch NY 12458-2602 Ph: (845) 647-2112 | R Raymond Tartakoff Lcsw Pc 216 Continental Rd Napanoch NY 12458-2602 Ph: (845) 647-2112 |
| NPI Number | 1659723831 |
|---|---|
| Provider Enumeration Date | 07/12/2016 |
| Last Update Date | 07/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659723831 | NPI | - | NPPES |
| 7491605 | Other | VALUE OPTIONS | |
| 01727242 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 053380 (New York) | Primary |