Individual
CATHERINE MARIE BRATTON VOURKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
11015 71ST RD, APT. #1J, FOREST HILLS, NY 11375-4951
(718) 454-6370
Mailing address
19416A 64TH AVE, APT. #3A, FRESH MEADOWS, NY 11365-2833
(718) 454-6370
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR021905-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059315
GHI PROVIDER #
NY
01
—
N8986
BLUE CROSS/BLUE SHIELD
NY
01
—
P570985
OXFORD PROVIDER #
NY
Enumeration date
08/20/2006
Last updated
07/09/2007
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