| Forest Hills Dbt Center | |
|
7405 Metropolitan Ave Ste 2f Middle Village NY 11379-2636 | |
| (814) 503-0986 | |
| (917) 725-9299 |
| Full Name | Forest Hills Dbt Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7405 Metropolitan Ave Ste 2f, Middle Village, New York |
| Authorized Official Name and Position | Joanna Kristeva (PSYCHOTHERAPIST) |
| Authorized Official Contact | 8145030986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Hills Dbt Center 7405 Metropolitan Ave Middle Village NY 11379-2636 Ph: (814) 503-0986 | Forest Hills Dbt Center 7405 Metropolitan Ave Ste 2f Middle Village NY 11379-2636 Ph: (814) 503-0986 |
| NPI Number | 1639690043 |
|---|---|
| Provider Enumeration Date | 07/06/2017 |
| Last Update Date | 05/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639690043 | NPI | - | NPPES |
| 900942417 | Other | NY | INSURANCE |
| 225401831930455 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 084403 (New York) | Primary |
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