| Adult Care Services | |
|
13711 73rd Ter Flushing NY 11367-2303 | |
| (718) 575-3510 | |
| (718) 575-0391 |
| Full Name | Adult Care Services |
|---|---|
| Speciality | Psychologist |
| Location | 13711 73rd Ter, Flushing, New York |
| Authorized Official Name and Position | Mark Kutner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7185753510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Care Services 13711 73rd Ter Flushing NY 11367-2303 Ph: (718) 575-3510 | Adult Care Services 13711 73rd Ter Flushing NY 11367-2303 Ph: (718) 575-3510 |
| NPI Number | 1609935444 |
|---|---|
| Provider Enumeration Date | 12/07/2006 |
| Last Update Date | 05/23/2012 |
| Medicare PECOS PAC ID | 7911898747 |
|---|---|
| Medicare Enrollment ID | O20080530000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609935444 | NPI | - | NPPES |
| 02164212 | Medicaid | NY | |
| 000409099 | Other | UNITED BEHAVIORAL HEALTH | |
| 678886 | Other | VALUE OPTIONS | |
| 403672 | Other | EMBLEM HEALTH | |
| 7379731 | Other | NY | AETNA |
| 814181000 | Other | NY | MAGELLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sandra L Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982712949 PECOS PAC ID: 6305831975 Enrollment ID: I20040415000127 |
| Provider Name | Mark Kutner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700944782 PECOS PAC ID: 0446213896 Enrollment ID: I20080530000387 |
| Provider Name | Comfort B Asanbe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518139765 PECOS PAC ID: 2769551639 Enrollment ID: I20090422000362 |
| Provider Name | Josephine Loiacono-donovan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083770929 PECOS PAC ID: 1658496708 Enrollment ID: I20100914000449 |
| Provider Name | John M Michna |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043309537 PECOS PAC ID: 7113292822 Enrollment ID: I20171005002621 |
| Provider Name | Ariel Tzvi Hochster |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326534637 PECOS PAC ID: 4284964792 Enrollment ID: I20190926001170 |
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