| Starfish Experience Inc | |
|
192 3rd Ave Ste 9 Westwood NJ 07675-2100 | |
| (201) 594-9900 | |
| Not Available |
| Full Name | Starfish Experience Inc |
|---|---|
| Speciality | Social Worker |
| Location | 192 3rd Ave Ste 9, Westwood, New Jersey |
| Authorized Official Name and Position | Sheila F Kaminski (PRESIDENT) |
| Authorized Official Contact | 8453591539 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Starfish Experience Inc 58 Hickory Hill Ln Tappan NY 10983-1825 Ph: (845) 359-1539 | Starfish Experience Inc 192 3rd Ave Ste 9 Westwood NJ 07675-2100 Ph: (201) 594-9900 |
| NPI Number | 1851578496 |
|---|---|
| Provider Enumeration Date | 01/25/2008 |
| Last Update Date | 03/06/2012 |
| Medicare PECOS PAC ID | 3375702624 |
|---|---|
| Medicare Enrollment ID | O20120307000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851578496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SL 43877 (New Jersey) | Primary |
| Provider Name | Sheila F Kaminski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336253806 PECOS PAC ID: 1052359049 Enrollment ID: I20050420000795 |
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