Saras Haven Inc | |
24008 135th Ave Rosedale NY 11422-1511 | |
(917) 615-7122 | |
Not Available |
Full Name | Saras Haven Inc |
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Speciality | Clinic/Center |
Location | 24008 135th Ave, Rosedale, New York |
Authorized Official Name and Position | Mencachem Mendel Hecht (OFFICE MANAGER) |
Authorized Official Contact | 9176157122 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Saras Haven Inc 877 E 23rd St Brooklyn NY 11210-2819 Ph: (917) 615-7122 | Saras Haven Inc 24008 135th Ave Rosedale NY 11422-1511 Ph: (917) 615-7122 |
NPI Number | 1326752460 |
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Provider Enumeration Date | 01/12/2023 |
Last Update Date | 03/19/2024 |
Certification Date | 03/19/2024 |
Medicare PECOS PAC ID | 9335580166 |
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Medicare Enrollment ID | O20240510002817 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326752460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Edan Simcha |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265723712 PECOS PAC ID: 2466879697 Enrollment ID: I20220511002476 |
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