Miss Kathoucha Edouard, LCSW | |
3325 90th St, Jackson Heights, NY 11372-1680 | |
(332) 333-4942 | |
Not Available |
Full Name | Miss Kathoucha Edouard |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3325 90th St, Jackson Heights, 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 |
---|---|---|---|
1124208715 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 069349 (New York) | Primary |
Entity Name | The Westchester Medical Group, P.c |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881653822 PECOS PAC ID: 6406752963 Enrollment ID: O20031208000533 |
Mailing Address | Practice Location Address |
---|---|
Miss Kathoucha Edouard, LCSW 3325 90th St, Jackson Heights, NY 11372-1680 Ph: (917) 757-5616 | Miss Kathoucha Edouard, LCSW 3325 90th St, Jackson Heights, NY 11372-1680 Ph: (332) 333-4942 |
Sherry Roldan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 37-20 76th Street, Jackson Heights, NY 11372 Phone: 718-478-1526 Fax: 718-429-0738 | |
Luis O Alayon, LCSW ACSW BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3415 77th St, Jackson Heights, NY 11372 Phone: 718-446-7286 | |
Ronit Shemi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3722 82nd St, Jackson Heights, NY 11372 Phone: 718-779-1600 Fax: 718-396-6189 | |
Wilson Patricio Angamarca, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9114 37th Ave, Jackson Heights, NY 11372 Phone: 718-450-7479 | |
Xiomara Reyes, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9114 37th Ave, Jackson Heights, NY 11372 Phone: 718-779-1600 Fax: 718-779-1600 | |
Ms. Dorothy Marks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3722 82nd St, Jackson Heights, NY 11372 Phone: 718-779-1600 |