Queens Cbt Center | |
14108 Jewel Ave Flushing NY 11367-1618 | |
(347) 815-4228 | |
(347) 402-8186 |
Full Name | Queens Cbt Center |
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Speciality | Psychologist |
Location | 14108 Jewel Ave, Flushing, New York |
Authorized Official Name and Position | Benjamin Zvi Grysman (OWNER/DIRECTOR) |
Authorized Official Contact | 3478154228 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Queens Cbt Center 14108 Jewel Ave Flushing NY 11367-1618 Ph: (347) 815-4228 | Queens Cbt Center 14108 Jewel Ave Flushing NY 11367-1618 Ph: (347) 815-4228 |
NPI Number | 1104356195 |
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Provider Enumeration Date | 06/13/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 4082082938 |
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Medicare Enrollment ID | O20221125000052 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104356195 | NPI | - | NPPES |
P5268379 | Other | NY | UNITED HEALTH CARE OXFORD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 003047 (New York) | Secondary |
103T00000X | Psychologist | 019732 (New York) | Primary |
Provider Name | Raul Figueroa |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083778088 PECOS PAC ID: 1850301839 Enrollment ID: I20120223000369 |
Provider Name | Benjamin Zvi Grysman |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1841549128 PECOS PAC ID: 9133378417 Enrollment ID: I20121002000053 |
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