| Minds Together Lcsw Pc | |
|
10814 72nd Ave Ste 2 Forest Hills NY 11375-5301 | |
| (347) 288-0347 | |
| Not Available |
| Full Name | Minds Together Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 10814 72nd Ave Ste 2, Forest Hills, New York |
| Authorized Official Name and Position | Jean Carlos Osorio (OWNER) |
| Authorized Official Contact | 3472880347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minds Together Lcsw Pc 10814 72nd Ave Ste 2 Forest Hills NY 11375-5301 Ph: (347) 288-0347 | Minds Together Lcsw Pc 10814 72nd Ave Ste 2 Forest Hills NY 11375-5301 Ph: (347) 288-0347 |
| NPI Number | 1518509389 |
|---|---|
| Provider Enumeration Date | 10/14/2019 |
| Last Update Date | 10/12/2021 |
| Certification Date | 10/12/2021 |
| Medicare PECOS PAC ID | 2264830652 |
|---|---|
| Medicare Enrollment ID | O20211015001707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518509389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Jean C Osorio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427207760 PECOS PAC ID: 2567727258 Enrollment ID: I20180530001351 |
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