| New Horizon Counseling Center Inc | |
|
10819 Rockaway Blvd South Ozone Park NY 11420-1034 | |
| (718) 845-2620 | |
| (718) 845-9380 |
| Full Name | New Horizon Counseling Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10819 Rockaway Blvd, South Ozone Park, New York |
| Authorized Official Name and Position | Isac Bechor (EXECUTIVE MEDICAL DIRECTOR) |
| Authorized Official Contact | 7188452620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Horizon Counseling Center Inc 10819 Rockaway Blvd South Ozone Park NY 11420-1034 Ph: (718) 845-2620 | New Horizon Counseling Center Inc 10819 Rockaway Blvd South Ozone Park NY 11420-1034 Ph: (718) 845-2620 |
| NPI Number | 1366430563 |
|---|---|
| Provider Enumeration Date | 10/11/2005 |
| Last Update Date | 08/17/2018 |
| Medicare PECOS PAC ID | 4880681295 |
|---|---|
| Medicare Enrollment ID | O20040428000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366430563 | NPI | - | NPPES |
| 00688220 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 7442 (New York) | Primary |
| Provider Name | Sushil Chandra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184797797 PECOS PAC ID: 0345143707 Enrollment ID: I20040202000136 |
| Provider Name | Espiridion P Elio |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1235176066 PECOS PAC ID: 0042206922 Enrollment ID: I20040424000290 |
| Provider Name | Susan Scheier-brant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366523888 PECOS PAC ID: 3173510070 Enrollment ID: I20040430000214 |
| Provider Name | Sharon Bryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699831917 PECOS PAC ID: 6103815808 Enrollment ID: I20040507001339 |
| Provider Name | Eduardo Canlas Bondoc |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699771477 PECOS PAC ID: 9931180064 Enrollment ID: I20040525001757 |
| Provider Name | Bethzaida Palma-aquino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124134234 PECOS PAC ID: 2264413004 Enrollment ID: I20040526001720 |
| Provider Name | Iqbal Jangda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467537175 PECOS PAC ID: 9032194949 Enrollment ID: I20040623000769 |
| Provider Name | James A Aguirri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992886774 PECOS PAC ID: 1153307798 Enrollment ID: I20040625000142 |
| Provider Name | Sal L Sarmiento |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104925890 PECOS PAC ID: 5395722052 Enrollment ID: I20040701000525 |
| Provider Name | Geralynn R Marchesi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437319415 PECOS PAC ID: 1557349529 Enrollment ID: I20040708000204 |
| Provider Name | Isak Isakov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770521775 PECOS PAC ID: 4981683216 Enrollment ID: I20040719001169 |
| Provider Name | Bor-shiuan Chuang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003997255 PECOS PAC ID: 9830160514 Enrollment ID: I20040804001966 |
| Provider Name | Kiran Kamdar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467412965 PECOS PAC ID: 6507834249 Enrollment ID: I20040921000695 |
| Provider Name | Stanley P Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952474496 PECOS PAC ID: 8921060161 Enrollment ID: I20041101000240 |
| Provider Name | Donn J Wiedershine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205866670 PECOS PAC ID: 5597721894 Enrollment ID: I20041208000746 |
| Provider Name | Enrique J Teuscher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245349752 PECOS PAC ID: 7911957972 Enrollment ID: I20050127000144 |
| Provider Name | Anastasia Blanchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063599819 PECOS PAC ID: 5597717116 Enrollment ID: I20050211000366 |
| Provider Name | Michael Bernstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689685380 PECOS PAC ID: 3072560572 Enrollment ID: I20050406001108 |
| Provider Name | David Molina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558425538 PECOS PAC ID: 7214970656 Enrollment ID: I20050607000039 |
| Provider Name | Marco T Carpio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184633158 PECOS PAC ID: 2769440098 Enrollment ID: I20050627000385 |
| Provider Name | Marie A Lippman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295846061 PECOS PAC ID: 7618913641 Enrollment ID: I20050706001122 |
| Provider Name | Nitza Hasis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316077357 PECOS PAC ID: 5698700219 Enrollment ID: I20051003000689 |
| Provider Name | Roger P Feldman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457420960 PECOS PAC ID: 7315962339 Enrollment ID: I20051010000317 |
| Provider Name | David Osman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841732278 PECOS PAC ID: 8527087329 Enrollment ID: I20051121000842 |
| Provider Name | Andrea H Davanzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578620332 PECOS PAC ID: 7911927058 Enrollment ID: I20051202000757 |
| Provider Name | Andrea R Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356410542 PECOS PAC ID: 1557383460 Enrollment ID: I20051220000499 |
| Provider Name | Qiuxia M Lan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336195452 PECOS PAC ID: 6002823382 Enrollment ID: I20060310000375 |
| Provider Name | Jenine L Yannucciello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306856596 PECOS PAC ID: 9335156264 Enrollment ID: I20060316000514 |
| Provider Name | Jacqueline Lefkowitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518102490 PECOS PAC ID: 8527075431 Enrollment ID: I20060317000498 |
| Provider Name | Idowu O Oniyide |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568498848 PECOS PAC ID: 6507860798 Enrollment ID: I20060830000372 |
| Provider Name | Renee Hamada |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548374366 PECOS PAC ID: 0941206049 Enrollment ID: I20061012000557 |
| Provider Name | Griselda Mabel Bartha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669567517 PECOS PAC ID: 7911904461 Enrollment ID: I20061026000287 |
| Provider Name | Vikhta Gurevich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164511218 PECOS PAC ID: 3173523842 Enrollment ID: I20070108000415 |
| Provider Name | Rita Kenn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578633723 PECOS PAC ID: 3274636105 Enrollment ID: I20070314000552 |
| Provider Name | Stacy L Kanen-green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598777955 PECOS PAC ID: 6103929872 Enrollment ID: I20070319000053 |
| Provider Name | Harsha Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679668511 PECOS PAC ID: 9335244789 Enrollment ID: I20070413000418 |
| Provider Name | Jonathan W Grossman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578528667 PECOS PAC ID: 7113026550 Enrollment ID: I20070626000301 |
| Provider Name | Yuliya Vaynrub |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174748859 PECOS PAC ID: 4688766728 Enrollment ID: I20070822000323 |
| Provider Name | Debra Emery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164634168 PECOS PAC ID: 2860589033 Enrollment ID: I20071105000353 |
| Provider Name | Sherry D Persky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710998323 PECOS PAC ID: 9335239441 Enrollment ID: I20071213000109 |
| Provider Name | Georges Jean-pierre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255537551 PECOS PAC ID: 9436220225 Enrollment ID: I20080623000321 |
| Provider Name | Leslyn Elizabeth Bishop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285800565 PECOS PAC ID: 2769558162 Enrollment ID: I20080909000528 |
| Provider Name | Antonio A Sanchez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356308464 PECOS PAC ID: 3375562333 Enrollment ID: I20081029000578 |
| Provider Name | Stacy Klein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881806990 PECOS PAC ID: 6608930359 Enrollment ID: I20090126000324 |
| Provider Name | Niru Nahar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316182074 PECOS PAC ID: 5799841102 Enrollment ID: I20090311000076 |
| Provider Name | Valerie Gelber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154541704 PECOS PAC ID: 1052457751 Enrollment ID: I20091012000000 |
| Provider Name | Rhodora C Yap |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619043171 PECOS PAC ID: 5193863389 Enrollment ID: I20091109000323 |
| Provider Name | Natalie Bertucci |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588805196 PECOS PAC ID: 2466593090 Enrollment ID: I20100105000408 |
| Provider Name | Edita Raagas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821088642 PECOS PAC ID: 0547304115 Enrollment ID: I20100219000566 |
| Provider Name | Wayne Blackman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497812309 PECOS PAC ID: 6507992369 Enrollment ID: I20100331000385 |
| Provider Name | Lois A Evron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407917636 PECOS PAC ID: 0547396111 Enrollment ID: I20100407000657 |
| Provider Name | Susan G Appelman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174672117 PECOS PAC ID: 8729110119 Enrollment ID: I20100721000132 |
| Provider Name | Ruth Stern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013003250 PECOS PAC ID: 5092831511 Enrollment ID: I20100922000008 |
| Provider Name | Brendan J Corey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114012077 PECOS PAC ID: 2062604424 Enrollment ID: I20101005000084 |
| Provider Name | Pamela Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457493900 PECOS PAC ID: 3173702305 Enrollment ID: I20110120000482 |
| Provider Name | Luann Esen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114053543 PECOS PAC ID: 7810176823 Enrollment ID: I20110124000412 |
| Provider Name | Jackie M Bosworth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780813816 PECOS PAC ID: 1557545332 Enrollment ID: I20110404000498 |
| Provider Name | Janet M Solomon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184929382 PECOS PAC ID: 1658555164 Enrollment ID: I20110407000420 |
| Provider Name | Rachel E Schulman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679871156 PECOS PAC ID: 9830373166 Enrollment ID: I20110412000487 |
| Provider Name | Lydia L Radziul |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114183530 PECOS PAC ID: 4284819061 Enrollment ID: I20110420000438 |
| Provider Name | Gregory J Mahoney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740506658 PECOS PAC ID: 3577749951 Enrollment ID: I20110519000385 |
| Provider Name | Syed H Jaffery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427184829 PECOS PAC ID: 5991981102 Enrollment ID: I20110523000529 |
| Provider Name | Patricia A Stuart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619123130 PECOS PAC ID: 0648448985 Enrollment ID: I20110712000713 |
| Provider Name | Linda Shapiro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881605574 PECOS PAC ID: 8123293057 Enrollment ID: I20111205000580 |
| Provider Name | Rajesh B Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154406841 PECOS PAC ID: 1557536604 Enrollment ID: I20111219000649 |
| Provider Name | Mitchell Berk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336217397 PECOS PAC ID: 0042487134 Enrollment ID: I20120112000315 |
| Provider Name | Lea Boriskin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154571396 PECOS PAC ID: 9739347311 Enrollment ID: I20120229000125 |
| Provider Name | Dennis Feuerstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710154737 PECOS PAC ID: 3971765231 Enrollment ID: I20120502000413 |
| Provider Name | Muhammad Z Islam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992907133 PECOS PAC ID: 8729235668 Enrollment ID: I20120828000302 |
| Provider Name | Yelena Larina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336425461 PECOS PAC ID: 4587813183 Enrollment ID: I20120925000438 |
| Provider Name | Philip F. Tamburino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932315322 PECOS PAC ID: 5991957797 Enrollment ID: I20121130000019 |
| Provider Name | Robin J Cohn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265694178 PECOS PAC ID: 4789826124 Enrollment ID: I20130814000178 |
| Provider Name | Dimple Sodhi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477710978 PECOS PAC ID: 6002059466 Enrollment ID: I20130904000271 |
| Provider Name | Shmuel Zisu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285886069 PECOS PAC ID: 9931333093 Enrollment ID: I20131004000180 |
| Provider Name | Melissa B Barberer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902965437 PECOS PAC ID: 6305070707 Enrollment ID: I20131017000664 |
| Provider Name | Binu Chacko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265728398 PECOS PAC ID: 8224263355 Enrollment ID: I20131028000453 |
| Provider Name | Kenneth D Fitzgerald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548345168 PECOS PAC ID: 8921236134 Enrollment ID: I20140115001593 |
| Provider Name | Jennifer H Zurndorfer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427362656 PECOS PAC ID: 8022246933 Enrollment ID: I20140122000395 |
| Provider Name | Corinne Loretta Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598947756 PECOS PAC ID: 9234368820 Enrollment ID: I20140130001096 |
| Provider Name | Clara I Rodis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295067130 PECOS PAC ID: 5597996629 Enrollment ID: I20140402001679 |
| Provider Name | Jeffrey D Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790065209 PECOS PAC ID: 2769614668 Enrollment ID: I20140408000978 |
| Provider Name | Jaswinderjit Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740578053 PECOS PAC ID: 0244462448 Enrollment ID: I20140422000099 |
| Provider Name | Natalie L Wisdom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992833933 PECOS PAC ID: 1850540980 Enrollment ID: I20140428001521 |
| Provider Name | Bela Gershgorin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235295544 PECOS PAC ID: 0941384796 Enrollment ID: I20140430000172 |
| Provider Name | Farah Jean Philippe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083938674 PECOS PAC ID: 0547589079 Enrollment ID: I20150506000100 |
| Provider Name | Leah Persik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013304237 PECOS PAC ID: 1355652355 Enrollment ID: I20150617001790 |
| Provider Name | Naomi R Becker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780986117 PECOS PAC ID: 3476860891 Enrollment ID: I20150917001993 |
| Provider Name | Megan Marie Conti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851600894 PECOS PAC ID: 5991015380 Enrollment ID: I20151116001365 |
| Provider Name | Craig Lopresti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073742110 PECOS PAC ID: 0244530715 Enrollment ID: I20151207000301 |
| Provider Name | Susan P James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558501494 PECOS PAC ID: 1456652882 Enrollment ID: I20151209000651 |
| Provider Name | Stephanie Coiro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124392691 PECOS PAC ID: 6507167939 Enrollment ID: I20151209000787 |
| Provider Name | Lirije Cerimi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922332220 PECOS PAC ID: 0446551212 Enrollment ID: I20151221001237 |
| Provider Name | Margret M Slayback |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801062252 PECOS PAC ID: 5395048664 Enrollment ID: I20160120000871 |
| Provider Name | Robert Grabowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447316740 PECOS PAC ID: 5890099253 Enrollment ID: I20160204000773 |
| Provider Name | Manpreet K Grewal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013200161 PECOS PAC ID: 4183929409 Enrollment ID: I20160225000040 |
| Provider Name | Foyzul Ahmed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417901786 PECOS PAC ID: 5698072049 Enrollment ID: I20160330000106 |
| Provider Name | Cecily Doran-haramis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558352336 PECOS PAC ID: 8729386248 Enrollment ID: I20160418001424 |
| Provider Name | Frances Alkire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457613895 PECOS PAC ID: 1759680390 Enrollment ID: I20160503000615 |
| Provider Name | Michael F Mulqueen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447560396 PECOS PAC ID: 5092007799 Enrollment ID: I20160715000870 |
| Provider Name | Blanche M Centeno-hatwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285891200 PECOS PAC ID: 4880989813 Enrollment ID: I20160830000199 |
| Provider Name | Rana Tahir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417361668 PECOS PAC ID: 0547556565 Enrollment ID: I20160831000060 |
| Provider Name | La'draya S Macon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497020440 PECOS PAC ID: 8820384365 Enrollment ID: I20160908001993 |
| Provider Name | Wil E Germain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720348592 PECOS PAC ID: 2668791963 Enrollment ID: I20161007000870 |
| Provider Name | Marisa A Orshanskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326366337 PECOS PAC ID: 5092003350 Enrollment ID: I20161019002211 |
| Provider Name | Daniel V Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184871527 PECOS PAC ID: 7315226719 Enrollment ID: I20161107002094 |
| Provider Name | Heather M Berti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114226123 PECOS PAC ID: 4688953003 Enrollment ID: I20161108000248 |
| Provider Name | Vivian Colon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962710558 PECOS PAC ID: 9739469867 Enrollment ID: I20161207002285 |
| Provider Name | Meredith Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982846945 PECOS PAC ID: 1759515703 Enrollment ID: I20161228000194 |
| Provider Name | Jillian M Viup |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508292921 PECOS PAC ID: 3971885625 Enrollment ID: I20170113000251 |
| Provider Name | Judith Gil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609171974 PECOS PAC ID: 3870876600 Enrollment ID: I20170201002419 |
| Provider Name | Julie S Schatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346561834 PECOS PAC ID: 0840574505 Enrollment ID: I20170227000037 |
| Provider Name | Meredith A Dooley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528188000 PECOS PAC ID: 8426335357 Enrollment ID: I20170503000167 |
| Provider Name | Kelly A Eulner-tripodi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376099598 PECOS PAC ID: 9537436696 Enrollment ID: I20170522002292 |
| Provider Name | Lisa Braunwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558600536 PECOS PAC ID: 3870712268 Enrollment ID: I20171027001886 |
| Provider Name | Adier B Deleon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235285198 PECOS PAC ID: 5991063810 Enrollment ID: I20171227000286 |
| Provider Name | Erin P Coyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659825263 PECOS PAC ID: 4082973441 Enrollment ID: I20180111001053 |
| Provider Name | Nashon Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447767371 PECOS PAC ID: 4385905777 Enrollment ID: I20180227002302 |
| Provider Name | Henry Jangira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700137023 PECOS PAC ID: 1759644750 Enrollment ID: I20180404000633 |
| Provider Name | Joan Sass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356546139 PECOS PAC ID: 7911260278 Enrollment ID: I20180419000399 |
| Provider Name | Meghan J Kessler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144738618 PECOS PAC ID: 3779846076 Enrollment ID: I20180419002386 |
| Provider Name | Renee Capell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992233217 PECOS PAC ID: 1951665603 Enrollment ID: I20180503001741 |
| Provider Name | Edward W Brogan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114342011 PECOS PAC ID: 0648535674 Enrollment ID: I20180522003106 |
| Provider Name | Smila Kodali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659514966 PECOS PAC ID: 6305160185 Enrollment ID: I20181009002994 |
| Provider Name | Carla L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992211577 PECOS PAC ID: 0446503346 Enrollment ID: I20181023001284 |
| Provider Name | Matthew J Belevich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740674324 PECOS PAC ID: 2062759699 Enrollment ID: I20190121001061 |
| Provider Name | Solomon I Mosheyev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144621590 PECOS PAC ID: 1557600723 Enrollment ID: I20190305003412 |
| Provider Name | Shari L Albaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104380476 PECOS PAC ID: 8426398124 Enrollment ID: I20190315001200 |
| Provider Name | Patricia Rykert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518210202 PECOS PAC ID: 0042551749 Enrollment ID: I20190405002246 |
| Provider Name | Paul A Teri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992100655 PECOS PAC ID: 9436491164 Enrollment ID: I20190430001280 |
| Provider Name | Stefanie N Stadler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598202780 PECOS PAC ID: 4284976887 Enrollment ID: I20190501001226 |
| Provider Name | Heather E Magone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194198903 PECOS PAC ID: 9638411135 Enrollment ID: I20190502002655 |
| Provider Name | Kathleen P Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043704125 PECOS PAC ID: 2264765296 Enrollment ID: I20190606001970 |
| Provider Name | Christopher M Governara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427429802 PECOS PAC ID: 4688907074 Enrollment ID: I20190618001967 |
| Provider Name | Darlene C Rampasaud |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851634174 PECOS PAC ID: 4981938362 Enrollment ID: I20190619002221 |
| Provider Name | Hena Ali |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376000539 PECOS PAC ID: 5092049809 Enrollment ID: I20190628000114 |
| Provider Name | Nabil H El-rafei |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932209830 PECOS PAC ID: 6608927413 Enrollment ID: I20191004002005 |
| Provider Name | Darline Ingrid Solages |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609435700 PECOS PAC ID: 3173854692 Enrollment ID: I20191015002774 |
| Provider Name | Stav Levy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154738607 PECOS PAC ID: 4587098488 Enrollment ID: I20191231002113 |
| Provider Name | Galo Cunto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124495213 PECOS PAC ID: 8022442615 Enrollment ID: I20200108000413 |
| Provider Name | Aline Lys Rabel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821649880 PECOS PAC ID: 7416382619 Enrollment ID: I20200116001190 |
| Provider Name | Sherry Vernise Scurry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568020501 PECOS PAC ID: 0749619856 Enrollment ID: I20200410000115 |
| Provider Name | Gracianna R Etcheverry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356697700 PECOS PAC ID: 6305276791 Enrollment ID: I20200427001745 |
| Provider Name | Bobby L Staley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649512112 PECOS PAC ID: 0648691634 Enrollment ID: I20200529000576 |
| Provider Name | Magnolia Goman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932555208 PECOS PAC ID: 0547681546 Enrollment ID: I20200529001269 |
| Provider Name | Kalisha J Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134599236 PECOS PAC ID: 4183045859 Enrollment ID: I20200604001656 |
| Provider Name | Julia Anne Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639703341 PECOS PAC ID: 4587083225 Enrollment ID: I20201028000447 |
| Provider Name | Jannet Li Harkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962010272 PECOS PAC ID: 9931511078 Enrollment ID: I20201215001904 |
| Provider Name | Roan E Forgie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578744314 PECOS PAC ID: 8325450232 Enrollment ID: I20201217002909 |
| Provider Name | Angelyse C Abalco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083255251 PECOS PAC ID: 5294148094 Enrollment ID: I20210118000481 |
| Provider Name | Leah B Stern Helmick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023616893 PECOS PAC ID: 9436563889 Enrollment ID: I20210127000760 |
| Provider Name | Emily M Arikian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316488828 PECOS PAC ID: 7214344589 Enrollment ID: I20210402000530 |
| Provider Name | Eric Behar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376071076 PECOS PAC ID: 6709205800 Enrollment ID: I20210405001067 |
| Provider Name | Karen Hirsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083294136 PECOS PAC ID: 1951700475 Enrollment ID: I20210602002890 |
| Provider Name | Karen M Camargo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295264539 PECOS PAC ID: 8022418185 Enrollment ID: I20210610001482 |
| Provider Name | Mary M Orobona |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013389154 PECOS PAC ID: 3476957739 Enrollment ID: I20210809001722 |
| Provider Name | Ruthe Norbrun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417258054 PECOS PAC ID: 8729476973 Enrollment ID: I20211021000716 |
| Provider Name | Chrisovalantoy M Makris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043551526 PECOS PAC ID: 1254722523 Enrollment ID: I20211221000243 |
| Provider Name | Nicole L Mayer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649659970 PECOS PAC ID: 6901299163 Enrollment ID: I20220210001507 |
| Provider Name | Norvy Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144627993 PECOS PAC ID: 8123412491 Enrollment ID: I20220302002026 |
| Provider Name | Laurie A Margolin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609473537 PECOS PAC ID: 1850787458 Enrollment ID: I20220407001579 |
| Provider Name | Elyssa B Moseley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881340313 PECOS PAC ID: 4082000468 Enrollment ID: I20220412001596 |
| Provider Name | Ashley Belbol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013431063 PECOS PAC ID: 5294121687 Enrollment ID: I20220412001911 |
| Provider Name | Colette C Lipem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649946914 PECOS PAC ID: 4789061524 Enrollment ID: I20220516002505 |
| Provider Name | Vienna P Migliaccio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518437565 PECOS PAC ID: 5698153013 Enrollment ID: I20220525002450 |
| Provider Name | Honora T Stephan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538318001 PECOS PAC ID: 7113305947 Enrollment ID: I20220607000151 |
| Provider Name | Priscilla Seigh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639677743 PECOS PAC ID: 2264811298 Enrollment ID: I20220622002943 |
| Provider Name | Heather A Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912499534 PECOS PAC ID: 9739568437 Enrollment ID: I20220627003431 |
| Provider Name | Tanya M Sydnor Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114525961 PECOS PAC ID: 9234519778 Enrollment ID: I20220630001580 |
| Provider Name | Sakina Starr Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538725494 PECOS PAC ID: 6002296209 Enrollment ID: I20220706001480 |
| Provider Name | Tiffany L Wisor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326540600 PECOS PAC ID: 0749665537 Enrollment ID: I20220914002781 |
| Provider Name | Veronica R Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083335210 PECOS PAC ID: 9234508573 Enrollment ID: I20221208002530 |
| Provider Name | Samantha A De Luca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780234153 PECOS PAC ID: 2769856020 Enrollment ID: I20230328001608 |
| Provider Name | Jenna L Mcloughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447773064 PECOS PAC ID: 7113392226 Enrollment ID: I20230403001957 |
| Provider Name | Olubukola E Ajayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154620912 PECOS PAC ID: 2567854664 Enrollment ID: I20230417000177 |
| Provider Name | Marc Loubeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164825204 PECOS PAC ID: 5193190502 Enrollment ID: I20230417000573 |
| Provider Name | Eileen Noel Sunshine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023307485 PECOS PAC ID: 2062680457 Enrollment ID: I20230518000730 |
| Provider Name | Nicolina Baldassarre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548825854 PECOS PAC ID: 5799142683 Enrollment ID: I20230608001096 |
| Provider Name | George M Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972724284 PECOS PAC ID: 3173981958 Enrollment ID: I20230627001356 |
| Provider Name | Karen Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316631104 PECOS PAC ID: 6608234489 Enrollment ID: I20230627001423 |
| Provider Name | Mitra R Harounian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023509023 PECOS PAC ID: 5395104061 Enrollment ID: I20230629000788 |
| Provider Name | Michelle S Lesher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144483165 PECOS PAC ID: 9234450180 Enrollment ID: I20231020000606 |
| Provider Name | Henrieta Deka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043857675 PECOS PAC ID: 9234587007 Enrollment ID: I20231205000908 |
| Provider Name | Erez Adan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396424529 PECOS PAC ID: 7810346285 Enrollment ID: I20231211001127 |
| Provider Name | Michael J Rossilli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184491714 PECOS PAC ID: 5395197453 Enrollment ID: I20240115000906 |
| Provider Name | Oz M Hasis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245851930 PECOS PAC ID: 3274978291 Enrollment ID: I20240229003176 |
| Provider Name | Julia C Barrett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508266362 PECOS PAC ID: 9931545167 Enrollment ID: I20240311002702 |
| Provider Name | Michelle F Bekmessian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770145146 PECOS PAC ID: 6800232034 Enrollment ID: I20240311002809 |
| Provider Name | Jin Kim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316564404 PECOS PAC ID: 9335586049 Enrollment ID: I20240318000989 |
| Provider Name | Rabindranauth Bhagwandas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295393619 PECOS PAC ID: 8921445594 Enrollment ID: I20240319003217 |
| Provider Name | Sean P Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689220998 PECOS PAC ID: 9931546405 Enrollment ID: I20240319003568 |
| Provider Name | Maria E Fuentes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538710041 PECOS PAC ID: 4082051032 Enrollment ID: I20240326001923 |
| Provider Name | Marie G Duclair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649051921 PECOS PAC ID: 6204273139 Enrollment ID: I20240327000930 |
| Provider Name | Kaitlin M Habekost |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326646480 PECOS PAC ID: 8022456961 Enrollment ID: I20240410003261 |
| Provider Name | Neena Josen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275950552 PECOS PAC ID: 6305285578 Enrollment ID: I20240419003390 |
| Provider Name | Jennifer P Lye |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699101014 PECOS PAC ID: 4688014590 Enrollment ID: I20240425002031 |
| Provider Name | Zareeda R Wajid |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164078432 PECOS PAC ID: 5597106625 Enrollment ID: I20240507003461 |
| Provider Name | Joseph A Santigate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114543444 PECOS PAC ID: 4183065410 Enrollment ID: I20240516003347 |
| Provider Name | Deborah E Rivera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013385640 PECOS PAC ID: 1153763149 Enrollment ID: I20240522001460 |
| Provider Name | Itisha I Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558988659 PECOS PAC ID: 8527400043 Enrollment ID: I20240529001230 |
New Horizon Counseling Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10819 Rockaway Blvd, South Ozone Park, NY 11420 Phone: 718-845-2620 Fax: 718-845-9380 | |
Orly Y Costo Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10819 Rockaway Blvd, South Ozone Park, NY 11420 Phone: 718-845-2620 Fax: 718-845-9380 | |
Nirveeta Charles Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14929 128th St, South Ozone Park, NY 11420 Phone: 347-260-7216 | |
Park Neurological Services, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13118 Rockaway Blvd, South Ozone Park, NY 11420 Phone: 718-659-7166 Fax: 718-529-5930 |