Mr Eduardo Jorge Pallanza, LMHC | |
3764 72nd St, Qcni, Jackson Hts, NY 11372-6143 | |
(718) 335-3434 | |
Not Available |
Full Name | Mr Eduardo Jorge Pallanza |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 3764 72nd St, Jackson Hts, 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 |
---|---|---|---|
1356402119 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Bleuler Psychotherapy Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801949706 PECOS PAC ID: 3274425988 Enrollment ID: O20040326001387 |
Mailing Address | Practice Location Address |
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Mr Eduardo Jorge Pallanza, LMHC 3511 Linden Pl, 2r, Flushing, NY 11354-2846 Ph: (718) 661-3684 | Mr Eduardo Jorge Pallanza, LMHC 3764 72nd St, Qcni, Jackson Hts, NY 11372-6143 Ph: (718) 335-3434 |
Mr. Adam Lloyd Reynolds, LMSW, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3727 86th St Apt 5r, Jackson Hts, NY 11372 Phone: 917-216-0614 | |
Ms. Jae Yon Chong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 37-55 77th Street #1b, Jackson Hts, NY 11372 Phone: 954-873-4278 | |
Dr. Joseph J Faillace, PHD LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3764 72nd St, Ocni, Jackson Hts, NY 11372 Phone: 718-335-3434 Fax: 718-335-4731 |