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Individual
ELISHEVA RYP
Active
Individual
ELISHEVA RYP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
081394
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00355940
AGENCY MEDICAID ID
NY
01
—
1285628552
AGENCY NPI #
NY
01
—
132793295
ANGENCY TAX ID
NY
01
—
WVE061
AGENCY MEDICARE ID
NY
Enumeration date
08/02/2011
Last updated
08/02/2011
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