| Haber Counseling Lcsw Pllc | |
|
4701 Queens Blvd Ste 405 Sunnyside NY 11104-1623 | |
| (646) 641-9578 | |
| (347) 924-9807 |
| Full Name | Haber Counseling Lcsw Pllc |
|---|---|
| Speciality | Counselor |
| Location | 4701 Queens Blvd Ste 405, Sunnyside, New York |
| Authorized Official Name and Position | Carlos Gustavo Haber (PRESIDENT) |
| Authorized Official Contact | 6466419578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haber Counseling Lcsw Pllc 4701 Queens Blvd Ste 405 Sunnyside NY 11104-1623 Ph: (646) 641-9578 | Haber Counseling Lcsw Pllc 4701 Queens Blvd Ste 405 Sunnyside NY 11104-1623 Ph: (646) 641-9578 |
| NPI Number | 1023656246 |
|---|---|
| Provider Enumeration Date | 12/18/2019 |
| Last Update Date | 12/18/2019 |
| Certification Date | 12/18/2019 |
| Medicare PECOS PAC ID | 2769810167 |
|---|---|
| Medicare Enrollment ID | O20200318001499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023656246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Carlos G Haber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013106566 PECOS PAC ID: 7517130131 Enrollment ID: I20111027000023 |
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