| Dr Luis Brignolo, LMHC | |
|
14101 68th Dr Fl 1, Flushing, NY 11367-1635 | |
| (718) 551-1868 | |
| Not Available |
| Full Name | Dr Luis Brignolo |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 14101 68th Dr Fl 1, Flushing, 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 |
|---|---|---|---|
| 1710139274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 008172 (New York) | Primary |
| 225700000X | Massage Therapist | 027228 (New York) | Secondary |
| 251S00000X | Community/behavioral Health | (NU) | Secondary |
| Entity Name | The Child Center of Ny Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649329806 PECOS PAC ID: 8426010638 Enrollment ID: O20041101000022 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Luis Brignolo, LMHC 14101 68th Dr, Flushing, NY 11367-1635 Ph: (718) 551-1868 | Dr Luis Brignolo, LMHC 14101 68th Dr Fl 1, Flushing, NY 11367-1635 Ph: (718) 551-1868 |
Ms. Raya Burstein, OT Counselor Medicare: Not Enrolled in Medicare Practice Location: 13842 76th Ave, None, Flushing, NY 11367 Phone: 718-261-7392 |
Xiaojing Wei, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4108 Parsons Blvd Apt 2d, Flushing, NY 11355 Phone: 347-654-2924 |
Mrs. Coco Meng, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 14015b Sanford Ave, Flushing, NY 11355 Phone: 718-358-8288 Fax: 718-713-3476 |
Mina Yoon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4216 162nd St Apt 2, Flushing, NY 11358 Phone: 718-366-9540 |
Jingyue Yao, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 14015b Sanford Ave Fl 2, Flushing, NY 11355 Phone: 626-695-9918 |
Edwin Bajana, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14015b Sanford Ave Fl 2, Flushing, NY 11355 Phone: 718-358-8288 |
Keri-ann Walker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4343 Bowne St, Flushing, NY 11355 Phone: 718-461-6393 |