Mr Kevin Sustad, | |
2598 Orr St, Merrick, NY 11566-4744 | |
(516) 941-7504 | |
Not Available |
Full Name | Mr Kevin Sustad |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 2598 Orr St, Merrick, 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 |
---|---|---|---|
1689254203 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 011247 (New York) | Primary |
Entity Name | Valera Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437782349 PECOS PAC ID: 0547690521 Enrollment ID: O20200414003279 |
Mailing Address | Practice Location Address |
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Mr Kevin Sustad, 2598 Orr St, Merrick, NY 11566-4744 Ph: (516) 941-7504 | Mr Kevin Sustad, 2598 Orr St, Merrick, NY 11566-4744 Ph: (516) 941-7504 |
Michele Morelli, MHC-LP, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1729 Gormley Ave, Merrick, NY 11566 Phone: 646-404-4323 | |
Yael Leisman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Cortelyou Rd, Merrick, NY 11566 Phone: 718-787-1100 Fax: 718-787-9598 | |
Ms. Magda Zapata, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1991 Smith St Ste 200, Merrick, NY 11566 Phone: 631-533-4163 Fax: 631-938-9862 | |
Mrs. Brittany Nicole Kravat, LMHC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2040 Merrick Rd-unit 634, Merrick, NY 11566 Phone: 516-659-3939 | |
Mrs. Kathryn Suzanne Stone, LMSW, LMHC, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2087 Berkley Ln, Merrick, NY 11566 Phone: 516-378-2197 | |
Michael Aaron Hartman, Counselor Medicare: Medicare Enrolled Practice Location: 1991 Smith St, Merrick, NY 11566 Phone: 516-205-5794 | |
Sari Klar, MHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1991 Norshon Rd, Merrick, NY 11566 Phone: 516-314-3273 |