PHILIP BOCKMAN


Address: 817 Broadway, 9th Fl., Room 2, New York, NY 10003
Phone: 9178687405

PHILIP BOCKMAN (NPI# 1154538783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154538783
Entity Type Individual
Full Name PHILIP BOCKMAN
Credential LCSW ACSW
Practice Address 817 Broadway
9th Fl., Room 2
New York
NY 10003
Mailing Address 1613 Green St
Apt C
Philadelphia
PA 19130
Practice Telephone 9178687405
Mailing Telephone 9178687405
Enumeration Date 2007-05-16
Last Update Date 2009-01-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TP2701X Psychologist
Specialization: Group Psychotherapy
R0505141 NY Behavioral Health & Social Service Providers

Office Location

Street Address 817 BROADWAY
9TH FL., ROOM 2
City NEW YORK
State NY
Zip Code 10003

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1215580600 Anna Catherine Kasprzak Physician Assistant 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 2019-07-24
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Taxonomy Information

Taxonomy Code 103TP2701X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Group Psychotherapy

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: modified title]

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1154582997 Ellen Oxman Miller Psychologist 920 Broadway, Floor 8, New York, NY 10010 2008-06-24
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Competitor

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City NEW YORK
Zip Code 10003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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