Kyri Menaker, LCSW | |
162 Tamboer Dr, North Haledon, NJ 07508-2970 | |
(201) 410-2108 | |
Not Available |
Full Name | Kyri Menaker |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 162 Tamboer Dr, North Haledon, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255106142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC05899900 (New Jersey) | Primary |
Entity Name | Grow Healthcare Group Of New Jersey Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841949328 PECOS PAC ID: 5193194835 Enrollment ID: O20221220000110 |
Mailing Address | Practice Location Address |
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Kyri Menaker, LCSW 162 Tamboer Dr, North Haledon, NJ 07508-2970 Ph: (201) 410-2108 | Kyri Menaker, LCSW 162 Tamboer Dr, North Haledon, NJ 07508-2970 Ph: (201) 410-2108 |
Barbara A. Porcelli, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 546 High Mountain Rd, North Haledon, NJ 07508 Phone: 201-981-6952 Fax: 973-423-2019 | |
Jennifer Puskas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Suncrest Ave, North Haledon, NJ 07508 Phone: 201-819-4154 Fax: 973-238-1737 | |
Hilda Luz Santiago, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 886 Belmont Ave Ste 3, North Haledon, NJ 07508 Phone: 973-464-0791 | |
Ms. Melinda Scarso, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44 Tamboer Dr, North Haledon, NJ 07508 Phone: 973-423-2557 | |
Mr. Gerard M Lagos, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 886 Belmont Ave, North Haledon, NJ 07508 Phone: 973-423-3983 Fax: 201-485-8241 |