| Advanced Psychotherapy And Behavioral Health Services Lcsw Pc | |
|
87-12 175th Street Jamaica NY 11432 | |
| (718) 437-5570 | |
| (718) 437-5572 |
| Full Name | Advanced Psychotherapy And Behavioral Health Services Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 87-12 175th Street, Jamaica, New York |
| Authorized Official Name and Position | Yasser Aly (OWNER) |
| Authorized Official Contact | 7184375570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Psychotherapy And Behavioral Health Services Lcsw Pc 111 Dahlgren Place, Bsmt Brooklyn NY 11228 Ph: (718) 437-5570 | Advanced Psychotherapy And Behavioral Health Services Lcsw Pc 87-12 175th Street Jamaica NY 11432 Ph: (718) 437-5570 |
| NPI Number | 1316271554 |
|---|---|
| Provider Enumeration Date | 09/21/2009 |
| Last Update Date | 12/12/2023 |
| Certification Date | 12/12/2023 |
| Medicare PECOS PAC ID | 8022155134 |
|---|---|
| Medicare Enrollment ID | O20091022000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316271554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Yasser Aly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265585293 PECOS PAC ID: 9638272743 Enrollment ID: I20070309000533 |
| Provider Name | Giovanni J. Bartolotta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598295388 PECOS PAC ID: 8527330844 Enrollment ID: I20170822002454 |
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