| Coach Vera's Slow & Steady Health Program | |
|
80 Union Ave Staten Island NY 10303-2426 | |
| (718) 813-5945 | |
| Not Available |
| Full Name | Coach Vera's Slow & Steady Health Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 80 Union Ave, Staten Island, New York |
| Authorized Official Name and Position | Vera Gill (CDC NDPP LIFESTYLE COACH) |
| Authorized Official Contact | 7188135945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coach Vera's Slow & Steady Health Program 273 Maple Pkwy # 2 Staten Island NY 10303-2464 Ph: (718) 813-5945 | Coach Vera's Slow & Steady Health Program 80 Union Ave Staten Island NY 10303-2426 Ph: (718) 813-5945 |
| NPI Number | 1629723804 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 07/29/2022 |
| Certification Date | 07/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629723804 | NPI | - | NPPES |
| 1649819889 | Medicaid | NY | |
| 1881320455 | Medicaid | NY | |
| 1982030698 | Medicaid | NY | |
| 1437524568 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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