Basic Information
| Provider Information | |||||||||
| NPI: | 1386847044 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | OKUN | ||||||||
| FirstName: | CAROLE | ||||||||
| MiddleName: | BETH | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 501 RIVERDALE AVE | ||||||||
| Address2: | APT 3J | ||||||||
| City: | YONKERS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 107053583 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9149688259 | ||||||||
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| Practice Location | |||||||||
| Address1: | 80 VAN DAM ST | ||||||||
| Address2: | 2ND FLOOR | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2123668040 | ||||||||
| FaxNumber: | 2123668144 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | R055184-1 | NY | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.