| Hispanic Therapy Service | |
|
26 Roosevelt Ct Westbury NY 11590-4135 | |
| (917) 755-2425 | |
| Not Available |
| Full Name | Hispanic Therapy Service |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 26 Roosevelt Ct, Westbury, New York |
| Authorized Official Name and Position | Rafael Eric Bou (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9177552425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hispanic Therapy Service 26 Roosevelt Ct Westbury NY 11590-4135 Ph: (917) 755-2425 | Hispanic Therapy Service 26 Roosevelt Ct Westbury NY 11590-4135 Ph: (917) 755-2425 |
| NPI Number | 1245785005 |
|---|---|
| Provider Enumeration Date | 08/22/2016 |
| Last Update Date | 08/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245785005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 081037-1 (New York) | Primary |
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