Basic Information
| Provider Information | |||||||||
| NPI: | 1972013795 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | VINOKUR PSYCHOTHERAPY LCSW, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 515 E 7TH ST APT 6N | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112184817 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3475541518 | ||||||||
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| Practice Location | |||||||||
| Address1: | 515 E 7TH ST APT 6N | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112184817 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3475541518 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/06/2017 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| AuthorizedOfficialLastName: | VINOKUR | ||||||||
| AuthorizedOfficialFirstName: | NONNA | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 3475541518 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LCSW | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.