Adalgiza Sandoval, LCSW | |
9029 218th Pl, Queens Village, NY 11428-1336 | |
(718) 465-4662 | |
Not Available |
Full Name | Adalgiza Sandoval |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 9029 218th Pl, Queens Village, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245360189 | NPI | - | NPPES |
02533099 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | R048934-1 (New York) | Primary |
Entity Name | Psychotherapy Lcsw Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063992345 PECOS PAC ID: 6901158013 Enrollment ID: O20181017001800 |
Mailing Address | Practice Location Address |
---|---|
Adalgiza Sandoval, LCSW 9029 218th Pl, Queens Village, NY 11428-1336 Ph: (718) 454-8223 | Adalgiza Sandoval, LCSW 9029 218th Pl, Queens Village, NY 11428-1336 Ph: (718) 465-4662 |
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Yu Chun Poon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7925 Winchester Blvd, Queens Village, NY 11427 Phone: 718-264-5094 Fax: 718-264-5100 | |
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Ms. Karen L Werbin Eckert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7925 Winchester Blvd, Bldg 73, Queens Village, NY 11427 Phone: 718-265-4395 Fax: 718-254-3951 | |
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