| Ihab Girgis, Phd, Lcsw, Pllc | |
|
107 Northern Blvd Ste 202 Great Neck NY 11021-4309 | |
| (917) 648-0885 | |
| Not Available |
| Full Name | Ihab Girgis, Phd, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 107 Northern Blvd Ste 202, Great Neck, New York |
| Authorized Official Name and Position | Ihab Girgis (CEO) |
| Authorized Official Contact | 9176480885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ihab Girgis, Phd, Lcsw, Pllc 210 Ingraham Ln New Hyde Park NY 11040-4240 Ph: (917) 648-0885 | Ihab Girgis, Phd, Lcsw, Pllc 107 Northern Blvd Ste 202 Great Neck NY 11021-4309 Ph: (917) 648-0885 |
| NPI Number | 1861990863 |
|---|---|
| Provider Enumeration Date | 01/25/2018 |
| Last Update Date | 01/25/2018 |
| Medicare PECOS PAC ID | 6800158783 |
|---|---|
| Medicare Enrollment ID | O20180314000318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861990863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R075827 (New York) | Primary |
| Provider Name | Ihab Girgis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972773273 PECOS PAC ID: 7113098195 Enrollment ID: I20080618000670 |
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