Provider Demographics
NPI:1205826625
Name:SELMAN-BABINECZ, B (LCSW DCSW BCD)
Entity type:Individual
Prefix:
First Name:B
Middle Name:
Last Name:SELMAN-BABINECZ
Suffix:
Gender:F
Credentials:LCSW DCSW BCD
Other - Prefix:
Other - First Name:BETSY
Other - Middle Name:
Other - Last Name:SELMAN-BABINECZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW DCSW BCD
Mailing Address - Street 1:171 MADISON AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5110
Mailing Address - Country:US
Mailing Address - Phone:212-889-4042
Mailing Address - Fax:212-889-3936
Practice Address - Street 1:171 MADISON AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5110
Practice Address - Country:US
Practice Address - Phone:212-889-4042
Practice Address - Fax:212-889-3936
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-26
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0406871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN70781Medicare PIN