Krista Sickler, | |
1979 Marcus Avenue, Suite 204, Lake Success, NY 11042 | |
(310) 721-4871 | |
Not Available |
Full Name | Krista Sickler |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 1979 Marcus Avenue, Lake Success, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275863755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 0157571 (New York) | Primary |
Entity Name | State Of New York Comptrollers Office |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
Mailing Address | Practice Location Address |
---|---|
Krista Sickler, Po Box 801, Kerhonkson, NY 12446-0801 Ph: (310) 721-4871 | Krista Sickler, 1979 Marcus Avenue, Suite 204, Lake Success, NY 11042 Ph: (310) 721-4871 |
Dr. Meredith Grace Allgood, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2001 Marcus Ave, Suite E128, Lake Success, NY 11042 Phone: 516-390-3525 | |
Todd Lencz, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 444 Lakeville Road, The Rap Program, Lake Success, NY 11042 Phone: 516-470-6951 | |
Miriam Korbman, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2001 Marcus Ave Suite E128, Lake Success, NY 11042 Phone: 516-390-3525 |