Organization
TAMAR IZCOVICH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMAR IZCOVICH LCSW (SOCIAL WORKER)
(929) 239-4977
Entity
Organization
Contact information
Practice address
19 W 34TH ST PH, NEW YORK, NY 10001-3006
(516) 784-7876
Mailing address
1912 3RD AVE APT 3A, NEW YORK, NY 10029-4618
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
CIGNA
—
Enumeration date
12/16/2019
Last updated
12/16/2019
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