Miriam Cusicanqui, LCSW | |
9004 161st St, 5th Floor, Jamaica, NY 11432-6141 | |
(718) 523-2123 | |
(718) 523-5833 |
Full Name | Miriam Cusicanqui |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 9004 161st St, Jamaica, 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 |
---|---|---|---|
1326454943 | NPI | - | NPPES |
00695941 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 080242-1 (New York) | Primary |
Entity Name | Jamaica Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477505220 PECOS PAC ID: 2264324334 Enrollment ID: O20040427001519 |
Mailing Address | Practice Location Address |
---|---|
Miriam Cusicanqui, LCSW 60 Madison Ave, 5th Floor, New York, NY 10010-1600 Ph: (212) 545-2400 | Miriam Cusicanqui, LCSW 9004 161st St, 5th Floor, Jamaica, NY 11432-6141 Ph: (718) 523-2123 |
Jin Hyun Park, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9009 Van Wyck Expy, Jamaica, NY 11435 Phone: 718-206-5575 | |
Andrew David Stein, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9027 Sutphin Blvd, 5th Floor, Jamaica, NY 11435 Phone: 718-526-8400 | |
Krystal Gayle, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8268 164th St, Jamaica, NY 11432 Phone: 718-883-3000 | |
Diane Therese Levy, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8268 164th St, Jamaica, NY 11432 Phone: 718-883-3225 Fax: 718-883-6193 | |
Mr. Eugene Donald Shea, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 14732 Jamaica Ave, Jamaica, NY 11435 Phone: 718-526-8400 | |
Karime Molina, LCSW, MA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8268 164th St, Jamaica, NY 11432 Phone: 718-883-3575 | |
Marjorie Demadet, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8268 164th St, Jamaica, NY 11432 Phone: 718-883-3225 Fax: 718-883-6193 |