Organization
PLAYDATE LMSW SOCIAL WORK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OLIVIA J NELSON LMSW (SOLE MBR)
(917) 863-3780
Entity
Organization
Contact information
Practice address
208 W 119TH ST, SUITE 3R, NEW YORK, NY 10026-1209
(917) 863-3780
(646) 596-7791
Mailing address
208 W 119TH ST, SUITE 3R, NEW YORK, NY 10026-1209
(917) 863-3780
(646) 596-7791
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
061668-1
NY
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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