Kristen Basulto, LMHC | |
26901 76th Ave, New Hyde Park, NY 11040-1433 | |
(718) 470-3148 | |
Not Available |
Full Name | Kristen Basulto |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 26901 76th Ave, New Hyde Park, 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 |
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1093468472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | 007736 (New York) | Primary |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
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Kristen Basulto, LMHC 270 Shore Rd Apt 41, Long Beach, NY 11561-4263 Ph: () - | Kristen Basulto, LMHC 26901 76th Ave, New Hyde Park, NY 11040-1433 Ph: (718) 470-3148 |
Lauren Elizabeth Salvatore-farkas, PSYD Counselor Medicare: Medicare Enrolled Practice Location: 27005 76th Ave, New Hyde Park, NY 11040 Phone: 718-470-4747 | |
Emily H Kim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7649 Hewlett St, New Hyde Park, NY 11040 Phone: 212-388-1903 | |
Mr. Alain Charles Beaudeau, MS, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1031 N 7th St, New Hyde Park, NY 11040 Phone: 516-775-1468 Fax: 516-775-0443 | |
Kristine Troescher, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 N 11th St, New Hyde Park, NY 11040 Phone: 516-405-9153 | |
Dr. Burton Silverman, LCSW, PH.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 Marcus Ave, E128, New Hyde Park, NY 11042 Phone: 516-390-3525 Fax: 516-396-2195 | |
Ms. Michelle Grabovsky, CRC, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 26901 76th Ave, New Hyde Park, NY 11040 Phone: 718-470-3148 |