Ageless Mind Ny | |
55 Northern Blvd Ste 406 Great Neck NY 11021-4058 | |
(516) 726-0301 | |
Not Available |
Full Name | Ageless Mind Ny |
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Speciality | Counselor - Mental Health |
Location | 55 Northern Blvd Ste 406, Great Neck, New York |
Authorized Official Name and Position | Izabelle Reyhanian Hakim (OWNER) |
Authorized Official Contact | 5167260301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ageless Mind Ny 55 Northern Blvd Ste 406 Great Neck NY 11021-4058 Ph: (516) 726-0301 | Ageless Mind Ny 55 Northern Blvd Ste 406 Great Neck NY 11021-4058 Ph: (516) 726-0301 |
NPI Number | 1649752767 |
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Provider Enumeration Date | 09/05/2018 |
Last Update Date | 01/10/2019 |
Identifier | Type | State | Issuer |
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1649752767 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 078204-1 (New York) | Primary |
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