| Samantha Pidgeon, | |
|
#1089 5500 Sunrise Highway, Unit 50, Massapequa, NY 11758 | |
| (516) 908-6406 | |
| Not Available |
| Full Name | Samantha Pidgeon |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | #1089 5500 Sunrise Highway, Massapequa, 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 |
|---|---|---|---|
| 1508374190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 010733 (New York) | Primary |
| Entity Name | J.corea Mental Health Counseling Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467907733 PECOS PAC ID: 1658733621 Enrollment ID: O20230809000190 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Pidgeon, #1089 5500 Sunrise Highway, Unit 50, Massapequa, NY 11758 Ph: (516) 908-6406 | Samantha Pidgeon, #1089 5500 Sunrise Highway, Unit 50, Massapequa, NY 11758 Ph: (516) 908-6406 |
Jeffrey Witherspoon, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 98 Division Ave, Massapequa, NY 11758 Phone: 516-398-7298 | |
Gladys L Cudjoe, LCSW, MASTER-CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 36 Joyce Ave, Massapequa, NY 11758 Phone: 718-506-7156 | |
Alisha Grimm, Counselor Medicare: Not Enrolled in Medicare Practice Location: 238 W End Ave, Massapequa, NY 11758 Phone: 516-506-8854 | |
Anna Virk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 Grand Ave, Massapequa, NY 11758 Phone: 516-991-2757 | |
Michelle Harclerode, Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 Grand Ave, Massapequa, NY 11758 Phone: 516-799-3203 | |
Mrs. Corinne Agnes Alba, LMHC, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 Grand Ave, Massapequa, NY 11758 Phone: 516-885-1818 | |
James Sharpe, LMSW Counselor Medicare: May Accept Medicare Assignments Practice Location: 75 Grand Ave, Massapequa, NY 11758 Phone: 516-799-3203 |