| St. John's Episcopal Hospital, South Shore | |
|
230 Beach 102nd St Suite 5b Rockaway Park NY 11694-2861 | |
| (718) 474-2070 | |
| Not Available |
| Full Name | St. John's Episcopal Hospital, South Shore |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 230 Beach 102nd St, Rockaway Park, New York |
| Authorized Official Name and Position | Cherian Palathra (CORPORATE CONTROLL) |
| Authorized Official Contact | 5163495227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. John's Episcopal Hospital, South Shore 700 Hicksville Rd Suite 210 Bethpage NY 11714-3471 Ph: (516) 349-5227 | St. John's Episcopal Hospital, South Shore 230 Beach 102nd St Suite 5b Rockaway Park NY 11694-2861 Ph: (718) 474-2070 |
| NPI Number | 1417245226 |
|---|---|
| Provider Enumeration Date | 07/13/2011 |
| Last Update Date | 10/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417245226 | NPI | - | NPPES |
| 02237718 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Rafael Yakutilov Neurology, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 15 Beach 105th St, Rockaway Park, NY 11694 Phone: 718-474-0023 Fax: 718-474-2033 | |
Jennifer Smith Psychologist Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12904 Newport Ave, Rockaway Park, NY 11694 Phone: 347-523-5321 | |
Park Ave. Psychotherapy Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 167 Beach 135, Rockaway Park, NY 11694 Phone: 718-634-0253 Fax: 718-634-1056 | |
Saint Johns Home For Boys Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Beach 110th Street, Rockaway Park, NY 11694 Phone: 718-945-2800 Fax: 718-945-4662 | |
Katelin Strebel Lmsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Beach 109th St, Rockaway Park, NY 11694 Phone: 914-494-9054 | |
Diana Safyan Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 533 Beach 126th St, Rockaway Park, NY 11694 Phone: 917-648-8339 |