Mariela Romero, | |
17620 148th Ave, Jamaica, NY 11434-5518 | |
(347) 585-2026 | |
Not Available |
Full Name | Mariela Romero |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 17620 148th Ave, 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 |
---|---|---|---|
1457755852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Interborough Developmental And Consultation Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588611842 PECOS PAC ID: 7911898192 Enrollment ID: O20040324001602 |
Mailing Address | Practice Location Address |
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Mariela Romero, 17620 148th Ave, Jamaica, NY 11434-5518 Ph: (347) 585-2026 | Mariela Romero, 17620 148th Ave, Jamaica, NY 11434-5518 Ph: (347) 585-2026 |
Ms. Anita Esther La Rosa, LCSW-R Counselor Medicare: Medicare Enrolled Practice Location: 18240 Hillside Ave, 1st Floor, Jamaica, NY 11432 Phone: 917-562-7354 | |
Marie Elizabeth Manley, LMSW, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16204 Tuskegee Airmen Way, Jamaica, NY 11433 Phone: 718-291-4844 Fax: 718-291-4511 | |
Megan Gellman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11630 Sutphin Blvd, Jamaica, NY 11434 Phone: 718-322-2500 Fax: 718-322-1881 | |
Mr. Frank Peter Tavella, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 91-01 Merrick Blvd, Jamaica, NY 11432 Phone: 718-523-4242 Fax: 718-523-5520 | |
Nordia Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16101 89th Ave, Jamaica, NY 11432 Phone: 718-262-8190 | |
David Jones, CASAC 2 Counselor Medicare: Not Enrolled in Medicare Practice Location: 11630 Sutphin Blvd, Jamaica, NY 11434 Phone: 183-222-5007 Fax: 718-322-1881 | |
Mr. Andrei Darrell Hoover, LCSW-R, ACSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 16007 132nd Ave Side Door, Jamaica, NY 11434 Phone: 347-707-0389 |