| Shakhmurov Counseling Inc | |
|
9830 67th Ave Suite Cc Rego Park NY 11374-4966 | |
| (917) 846-2538 | |
| (516) 295-2808 |
| Full Name | Shakhmurov Counseling Inc |
|---|---|
| Speciality | Social Worker |
| Location | 9830 67th Ave, Rego Park, New York |
| Authorized Official Name and Position | Margarita Shakhmurov (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9178462538 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shakhmurov Counseling Inc 873 Cherry Ln Valley Stream NY 11581-2722 Ph: (917) 846-2538 | Shakhmurov Counseling Inc 9830 67th Ave Suite Cc Rego Park NY 11374-4966 Ph: (917) 846-2538 |
| NPI Number | 1679610893 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/30/2012 |
| Medicare PECOS PAC ID | 1759383441 |
|---|---|
| Medicare Enrollment ID | O20070208000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679610893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R055855-1 (New York) | Primary |
| Provider Name | Margarita Shakhmurov |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083710859 PECOS PAC ID: 5799757712 Enrollment ID: I20040810001238 |
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