Individual
BARRY M KOTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW PC
Contact information
Practice address
125 RIVERSIDE DR, SUITE 1A, NEW YORK, NY 10024-3726
(212) 874-0605
(212) 874-0605
Mailing address
125 RIVERSIDE DR, SUITE 1A, NEW YORK, NY 10024-3726
(212) 874-0605
(212) 874-0605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R0135291
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02031670
—
NY
Enumeration date
09/01/2006
Last updated
09/22/2009
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