Justin Pataray, LMSW
Social Worker in New York, NY. Individual provider (NPI-1).
NPI number1871237677
StatusActive
Last updated in NPPESMay 9, 2022
Details
- NPI
- 1871237677
- Entity type
- Individual (NPI-1)
- Name
- Justin Pataray
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2022
- Certification date
- May 9, 2022
- Last updated
- May 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 112842 | NY | Yes |
Practice location
601 W 163rd St Apt 5gNew York, NY 10032-5637
Phone 949-527-8776
Mailing address
601 W 163rd St Apt 5gNew York, NY 10032-5637
Phone 949-527-8776
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