Provider Demographics
NPI:1770808982
Name:RECKSON, BATYA BERTHA
Entity type:Individual
Prefix:
First Name:BATYA
Middle Name:BERTHA
Last Name:RECKSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 CLARK ST
Mailing Address - Street 2:SUITE 4F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-2417
Mailing Address - Country:US
Mailing Address - Phone:646-957-2823
Mailing Address - Fax:212-731-7354
Practice Address - Street 1:52 CLARK ST
Practice Address - Street 2:SUITE 4F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-2417
Practice Address - Country:US
Practice Address - Phone:646-957-2823
Practice Address - Fax:212-731-7354
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY730769991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical