Marian Mikhail, | |
500 Todt Hill Rd, Staten Island, NY 10304-1326 | |
(330) 550-0258 | |
Not Available |
Full Name | Marian Mikhail |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 500 Todt Hill Rd, Staten Island, 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 |
---|---|---|---|
1265157911 | NPI | - | NPPES |
JLJ727526469 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 37PC00944500 (New Jersey) | Secondary |
101YM0800X | Counselor - Mental Health | 010409 (New York) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512002242 |
Mailing Address | Practice Location Address |
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Marian Mikhail, 500 Todt Hill Rd, Staten Island, NY 10304-1326 Ph: (330) 550-0258 | Marian Mikhail, 500 Todt Hill Rd, Staten Island, NY 10304-1326 Ph: (330) 550-0258 |
Miss Amy Mazzarisi, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Slosson Ter, Staten Island, NY 10301 Phone: 718-273-8409 | |
Carlene Thomas, MS ED, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 267 Port Richmond Ave, Staten Island, NY 10302 Phone: 718-981-8117 | |
Basil Akut, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1915 Forest Ave, Staten Island, NY 10303 Phone: 718-981-3136 Fax: 718-981-6849 | |
Sayleen Jordan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 139 John St # R, Staten Island, NY 10302 Phone: 347-998-0292 | |
Kaylin Trifeletti, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 777 Seaview Ave, Staten Island, NY 10305 Phone: 718-668-8050 Fax: 718-668-8010 | |
Ms. Emily Galecki, MHC-LP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1272 Richmond Rd Unit 2, Staten Island, NY 10304 Phone: 646-535-5990 | |
Ms. Joanne M D'onofrio, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 74 Dent Rd, Staten Island, NY 10308 Phone: 718-967-1249 |