Provider Demographics
NPI:1831443886
Name:PAGE, JOHN SATCHEL HORATIO JR (LMSW)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:SATCHEL HORATIO
Last Name:PAGE
Suffix:JR
Gender:M
Credentials:LMSW
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Mailing Address - Street 1:1 GUSTAVE L LEVY PLACE
Mailing Address - Street 2:BOX1252 MOUNT SINAI HOSPITAL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6574
Mailing Address - Country:US
Mailing Address - Phone:212-241-7228
Mailing Address - Fax:212-803-6774
Practice Address - Street 1:1 GUSTAVE L LEVY PLACE
Practice Address - Street 2:BOX1252 MOUNT SINAI HOSPITAL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6574
Practice Address - Country:US
Practice Address - Phone:212-241-7228
Practice Address - Fax:212-803-6774
Is Sole Proprietor?:No
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
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Provider Licenses
StateLicense IDTaxonomies
NY0872041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical