Lily Botting Tagg (NPI# 1871048587, PAC ID# 8820323538) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1871048587 |
| PAC ID by PECOS | 8820323538 |
| Professional Enrollment ID | I20190717000922 |
| Full Name | Lily Botting Tagg |
| Organization Legal Name | JGB MENTAL HEALTH AND MENTAL RETARDATION SERVICES, INC. |
| Address |
250 W 64 St New York NY 10023-6301 |
| Phone Number | 2127696257 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 1850349838 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 250 W 64 St, New York, NY 10023-6301 | 2127696257 | JGB MENTAL HEALTH AND MENTAL RETARDATION SERVICES, INC. |
| Organization Legal Name | JGB MENTAL HEALTH AND MENTAL RETARDATION SERVICES, INC. |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel A Goldstein | Clinical Social Worker | Jgb Mental Health and Mental Retardation Services, Inc. | 15 W 65th Sreet, 7th Floor, New York, NY 10023-6601 |
| Janet M Solomon | Clinical Social Worker | Jgb Mental Health and Mental Retardation Services, Inc. | 1630 E 15th St, Suite 2, Brooklyn, NY 11229-1193 |
| Laura J Newman | Psychologist, Clinical | Jgb Mental Health and Mental Retardation Services, Inc. | 1630 E 15th St, Suite 2, Brooklyn, NY 11229-1193 |
| Edward S Ross | Clinical Social Worker | Jgb Mental Health and Mental Retardation Services, Inc. | 1630 E 15th St, Suite 2, Brooklyn, NY 11229-1193 |
| Susan H Miller | Clinical Social Worker | Jgb Mental Health and Mental Retardation Services, Inc. | 1630 E 15th St, Suite 2, Brooklyn, NY 11229-1193 |
| Lindsay S Vitriol | Clinical Social Worker | Jgb Mental Health and Mental Retardation Services, Inc. | 1630 E 15th St, Suite 2, Brooklyn, NY 11229-1193 |
| Adrienne Wexler | Clinical Social Worker | Jgb Mental Health and Mental Retardation Services, Inc. | 1630 E 15th St, Suite 2, Brooklyn, NY 11229-1193 |
| Peter M Bookstein | Psychiatry | Jgb Mental Health and Mental Retardation Services, Inc. | 1630 E 15th St, Suite 2, Brooklyn, NY 11229-1193 |
| Aynur Tokat | Clinical Social Worker | Jgb Mental Health and Mental Retardation Services, Inc. | 1630 E 15th St, Suite 2, Brooklyn, NY 11229-1193 |
| Jeffrey A Shames | Clinical Social Worker | Jgb Mental Health and Mental Retardation Services, Inc. | 1630 E 15th St, Suite 2, Brooklyn, NY 11229-1193 |
| Street Address |
250 W 64 ST |
| City | NEW YORK |
| State | NY |
| Zip | 10023-6301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rinaldo Petronio | Clinical Social Worker | 140 W 69th St, Grond Floor C/o Manhattan Medical Care, New York, NY 10023-0134 | |
| Susan Pomerantz | Psychologist, Clinical | 240 W End Ave, 1b, New York, NY 10023-0137 | |
| John V Oleary | Psychologist, Clinical | 304 W 75th St, Apt 1a, New York, NY 10023-1693 | |
| Deborah Weichenberg | Allergy/immunology | 2121 Broadway, Suite 401a, New York, NY 10023-1786 | |
| Harold Rosenthal | Physical Therapy | 2121 Broadway, Suite 404, New York, NY 10023-1786 | |
| Jamie Lisa Blau | Chiropractic | 2121 Broadway, Suite 401a, New York, NY 10023-1786 | |
| James R Harder | Clinical Social Worker | 161 W 75th St, Apt 1b, New York, NY 10023-1802 | |
| Janet F Margolis | Clinical Social Worker | 161 W 75th St, 1b, New York, NY 10023-1802 | |
| John Frank Genke | Clinical Social Worker | 161 W 75th St, 10b, New York, NY 10023-1805 | |
| Hilary A Levine | Clinical Psychologist | 145 Central Park W, Suite 1a, New York, NY 10023-2004 | |
| Find all physicians in zip 10023 | |||
| City | NEW YORK |
| Zip Code | 10023 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | NEW YORK + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.