| Harbor Crest Comprehensive Counseling Group | |
|
242 N Main St New City NY 10956 | |
| (845) 354-9200 | |
| (845) 354-8555 |
| Full Name | Harbor Crest Comprehensive Counseling Group |
|---|---|
| Speciality | Social Worker |
| Location | 242 N Main St, New City, New York |
| Authorized Official Name and Position | Randolph Bleiwas (DIRECTOR) |
| Authorized Official Contact | 8453549200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Crest Comprehensive Counseling Group 242 N Main St New City NY 10956-5302 Ph: (845) 354-9200 | Harbor Crest Comprehensive Counseling Group 242 N Main St New City NY 10956 Ph: (845) 354-9200 |
| NPI Number | 1932212628 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 09/04/2019 |
| Medicare PECOS PAC ID | 4981594207 |
|---|---|
| Medicare Enrollment ID | O20090324000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932212628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 046678 (New York) | Primary |
| Provider Name | Randolph Bleiwas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043323728 PECOS PAC ID: 6800836917 Enrollment ID: I20090324000079 |
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