| Hope For The Heart Marriage And Family Therapy Pc | |
|
13605 Sanford Ave Apt 1m Flushing NY 11355-3118 | |
| (646) 229-3563 | |
| Not Available |
| Full Name | Hope For The Heart Marriage And Family Therapy Pc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 13605 Sanford Ave Apt 1m, Flushing, New York |
| Authorized Official Name and Position | Stephen W Kong (PRESIDENT) |
| Authorized Official Contact | 6462293563 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope For The Heart Marriage And Family Therapy Pc 14606 Holly Ave Flushing NY 11355-2247 Ph: (646) 229-3563 | Hope For The Heart Marriage And Family Therapy Pc 13605 Sanford Ave Apt 1m Flushing NY 11355-3118 Ph: (646) 229-3563 |
| NPI Number | 1205601143 |
|---|---|
| Provider Enumeration Date | 11/21/2023 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Medicare PECOS PAC ID | 2365884707 |
|---|---|
| Medicare Enrollment ID | O20240530001585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205601143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Stephen W Kong |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538442710 PECOS PAC ID: 0547604498 Enrollment ID: I20240219002202 |
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