| Transitional Services For New York, Inc | |
|
9027 Sutphin Blvd Ste 5 Jamaica NY 11435-3648 | |
| (718) 526-8400 | |
| Not Available |
| Full Name | Transitional Services For New York, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 9027 Sutphin Blvd Ste 5, Jamaica, New York |
| Authorized Official Name and Position | Larry Steven Grubler (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7187466647 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitional Services For New York, Inc 1016 162nd St Whitestone NY 11357-2124 Ph: (718) 746-6647 | Transitional Services For New York, Inc 9027 Sutphin Blvd Ste 5 Jamaica NY 11435-3648 Ph: (718) 526-8400 |
| NPI Number | 1457418337 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 06/06/2023 |
| Certification Date | 06/06/2023 |
| Medicare PECOS PAC ID | 7719932540 |
|---|---|
| Medicare Enrollment ID | O20050315000500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457418337 | NPI | - | NPPES |
| 00739762 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New York) | Primary |
| Provider Name | Zelimir Vukasin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861542540 PECOS PAC ID: 0446335939 Enrollment ID: I20080307000344 |
| Provider Name | Sandra R Bono |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659416204 PECOS PAC ID: 5890873913 Enrollment ID: I20080415000386 |
| Provider Name | Eugene Shea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033262084 PECOS PAC ID: 2365520764 Enrollment ID: I20080425000389 |
| Provider Name | Eliezer R Lusterman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588824429 PECOS PAC ID: 5092879304 Enrollment ID: I20090202000322 |
| Provider Name | Jowita A Bloch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376779082 PECOS PAC ID: 9133260185 Enrollment ID: I20100113000081 |
| Provider Name | Stacy M Yearwood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306053285 PECOS PAC ID: 5294877528 Enrollment ID: I20100125000175 |
| Provider Name | Rayna E Terry-taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609189307 PECOS PAC ID: 8628260486 Enrollment ID: I20101012000511 |
| Provider Name | Carlos A Tejera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538255401 PECOS PAC ID: 9133317878 Enrollment ID: I20101222000801 |
| Provider Name | Sophia Francis-stewart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730324625 PECOS PAC ID: 8426228016 Enrollment ID: I20110909002752 |
| Provider Name | Ronald Gornie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851448591 PECOS PAC ID: 8729252234 Enrollment ID: I20111118000497 |
| Provider Name | Altamease Middleton-clay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629125802 PECOS PAC ID: 0446426589 Enrollment ID: I20111220000681 |
| Provider Name | Andrew Stein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013147537 PECOS PAC ID: 6406098607 Enrollment ID: I20130819000569 |
| Provider Name | Elizabeth J Sillick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760797070 PECOS PAC ID: 2466675632 Enrollment ID: I20140516001051 |
| Provider Name | Diane Catherine Defilippo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184039893 PECOS PAC ID: 5799004412 Enrollment ID: I20150501000078 |
| Provider Name | Erin P Coyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659825263 PECOS PAC ID: 4082973441 Enrollment ID: I20180111001053 |
| Provider Name | Diane M Rapacioli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962937573 PECOS PAC ID: 4385906791 Enrollment ID: I20180323000933 |
| Provider Name | Desiree P Hopkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588144364 PECOS PAC ID: 9830436732 Enrollment ID: I20190131000641 |
| Provider Name | Shihab Touhid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821384918 PECOS PAC ID: 4789981028 Enrollment ID: I20191001001365 |
| Provider Name | Kim E Backman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205475746 PECOS PAC ID: 9537589007 Enrollment ID: I20201022000355 |
| Provider Name | Rebecca Carcana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114668357 PECOS PAC ID: 2163803081 Enrollment ID: I20220722001418 |
| Provider Name | Audrey F Blidgen-torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336341122 PECOS PAC ID: 6002282043 Enrollment ID: I20221017002714 |
| Provider Name | Roxanne Domenech |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104549559 PECOS PAC ID: 7315315884 Enrollment ID: I20221115002079 |
| Provider Name | Richard Treat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376264036 PECOS PAC ID: 0941670434 Enrollment ID: I20221227001393 |
| Provider Name | Dukenson Bigot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407462260 PECOS PAC ID: 6800266172 Enrollment ID: I20221230001996 |
| Provider Name | Joyetta Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528662244 PECOS PAC ID: 9830560515 Enrollment ID: I20230116000932 |
| Provider Name | Andrew Luong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225375645 PECOS PAC ID: 6406221951 Enrollment ID: I20240215003880 |
| Provider Name | Chanel Viviana Tazza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053510354 PECOS PAC ID: 0042684045 Enrollment ID: I20240517000134 |
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