Provider Demographics
NPI:1972013795
Name:VINOKUR PSYCHOTHERAPY LCSW, PC
Entity Type:Organization
Organization Name:VINOKUR PSYCHOTHERAPY LCSW, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:VINOKUR
Authorized Official - Suffix:
Authorized Official - Credentials:PSYCHOTHERAPIST
Authorized Official - Phone:347-554-1518
Mailing Address - Street 1:515 E 7TH ST APT 6N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-4817
Mailing Address - Country:US
Mailing Address - Phone:347-554-1518
Mailing Address - Fax:
Practice Address - Street 1:3320 AVENUE T
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-4911
Practice Address - Country:US
Practice Address - Phone:347-554-1518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-06
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty