| Krystal Miller, LCSW | |
|
22137 113th Dr, Queens Village, NY 11429-2621 | |
| (718) 926-6932 | |
| Not Available |
| Full Name | Krystal Miller |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 22137 113th Dr, Queens Village, 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 |
|---|---|---|---|
| 1174219646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 095148 (New York) | Primary |
| Entity Name | Ma Therapy |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811381668 PECOS PAC ID: 3870810179 Enrollment ID: O20240516002382 |
| Mailing Address | Practice Location Address |
|---|---|
| Krystal Miller, LCSW 22137 113th Dr, Queens Village, NY 11429-2621 Ph: (718) 926-6932 | Krystal Miller, LCSW 22137 113th Dr, Queens Village, NY 11429-2621 Ph: (718) 926-6932 |
Sarah Gellman, LCSW CASAC-2 Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8045 Winchester Blvd Bldg 73, Queens Village, NY 11427 Phone: 718-264-3970 | |
Waverly Chong, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8045 211th St, Queens Village, NY 11427 Phone: 718-737-5310 | |
Maura Kutzy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7925 Winchester Blvd, Queens Village, NY 11427 Phone: 718-264-5627 | |
Yu Chun Poon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7925 Winchester Blvd, Queens Village, NY 11427 Phone: 718-264-5094 Fax: 718-264-5100 | |
Ms. Karen L Werbin Eckert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7925 Winchester Blvd, Bldg 73, Queens Village, NY 11427 Phone: 718-265-4395 Fax: 718-254-3951 | |
Lucia Magdalena Ohuche, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7925 Winchester Blvd, Queens Village, NY 11427 Phone: 718-264-5740 |