| Rose Mental Health Counseling Pc | |
|
124 Main St Ste 6a Huntington NY 11743-6922 | |
| (516) 712-0970 | |
| Not Available |
| Full Name | Rose Mental Health Counseling Pc |
|---|---|
| Speciality | Counselor |
| Location | 124 Main St Ste 6a, Huntington, New York |
| Authorized Official Name and Position | Alison Diaz-perez (PSYCHOTHERAPIST) |
| Authorized Official Contact | 5167120970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Mental Health Counseling Pc 124 Main St Ste 6a Huntington NY 11743-6922 Ph: () - | Rose Mental Health Counseling Pc 124 Main St Ste 6a Huntington NY 11743-6922 Ph: (516) 712-0970 |
| NPI Number | 1154098663 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 08/24/2021 |
| Certification Date | 08/24/2021 |
| Medicare PECOS PAC ID | 1658711429 |
|---|---|
| Medicare Enrollment ID | O20240426000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154098663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jandy Choe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386136786 PECOS PAC ID: 9739529504 Enrollment ID: I20240426000604 |
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