| Counseling In Comfort Therapeutic Associates, Llc | |
|
63 Raymond Pl Hewlett NY 11557-2309 | |
| (908) 337-0641 | |
| (973) 433-7850 |
| Full Name | Counseling In Comfort Therapeutic Associates, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 63 Raymond Pl, Hewlett, New York |
| Authorized Official Name and Position | Steven Krul (OWNER) |
| Authorized Official Contact | 9083370641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling In Comfort Therapeutic Associates, Llc 63 Raymond Pl Hewlett NY 11557-2309 Ph: (908) 337-0641 | Counseling In Comfort Therapeutic Associates, Llc 63 Raymond Pl Hewlett NY 11557-2309 Ph: (908) 337-0641 |
| NPI Number | 1356972657 |
|---|---|
| Provider Enumeration Date | 01/27/2020 |
| Last Update Date | 01/27/2020 |
| Certification Date | 01/27/2020 |
| Medicare PECOS PAC ID | 4486084472 |
|---|---|
| Medicare Enrollment ID | O20200414003726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356972657 | NPI | - | NPPES |
| 1508222456 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Steven Krul |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508222456 PECOS PAC ID: 3577830421 Enrollment ID: I20170524000693 |
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