| Ryan M Kull Licensed Clinical Social Work Llc | |
|
363 7th Ave Fl 21 New York NY 10001-3904 | |
| (917) 991-8417 | |
| Not Available |
| Full Name | Ryan M Kull Licensed Clinical Social Work Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 363 7th Ave Fl 21, New York, New York |
| Authorized Official Name and Position | Ryan M Kull (DIRECTOR) |
| Authorized Official Contact | 9179918417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan M Kull Licensed Clinical Social Work Llc 363 7th Ave Fl 21 New York NY 10001-3904 Ph: (917) 991-8417 | Ryan M Kull Licensed Clinical Social Work Llc 363 7th Ave Fl 21 New York NY 10001-3904 Ph: (917) 991-8417 |
| NPI Number | 1487059523 |
|---|---|
| Provider Enumeration Date | 10/31/2014 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487059523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | PR061627-1 (New York) | Primary |
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