| Lester Aguilera | |
|
83 Woodbine St Brooklyn NY 11221-4944 | |
| (917) 836-7187 | |
| Not Available |
| Full Name | Lester Aguilera |
|---|---|
| Speciality | Counselor |
| Location | 83 Woodbine St, Brooklyn, New York |
| Authorized Official Name and Position | Lester Aguilera (CEO) |
| Authorized Official Contact | 9178367187 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lester Aguilera 83 Woodbine St Brooklyn NY 11221-4944 Ph: (917) 836-7187 | Lester Aguilera 83 Woodbine St Brooklyn NY 11221-4944 Ph: (917) 836-7187 |
| NPI Number | 1871131110 |
|---|---|
| Provider Enumeration Date | 12/17/2019 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Medicare PECOS PAC ID | 0244675148 |
|---|---|
| Medicare Enrollment ID | O20240301001763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871131110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lester Aguilera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750837787 PECOS PAC ID: 9335584242 Enrollment ID: I20240301002190 |
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