| Anna Sakharova, Lcsw Pc | |
|
9520 63rd Rd Suite J Rego Park NY 11374-1160 | |
| (718) 459-1225 | |
| (718) 459-5805 |
| Full Name | Anna Sakharova, Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 9520 63rd Rd, Rego Park, New York |
| Authorized Official Name and Position | Anna Sakharova (OWNER) |
| Authorized Official Contact | 7184591225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anna Sakharova, Lcsw Pc 5955 47th Ave Apt 6b Woodside NY 11377-5668 Ph: (718) 359-1225 | Anna Sakharova, Lcsw Pc 9520 63rd Rd Suite J Rego Park NY 11374-1160 Ph: (718) 459-1225 |
| NPI Number | 1487997003 |
|---|---|
| Provider Enumeration Date | 04/02/2013 |
| Last Update Date | 04/02/2013 |
| Medicare PECOS PAC ID | 3375781065 |
|---|---|
| Medicare Enrollment ID | O20130610000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487997003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R051123 (New York) | Primary |
| Provider Name | Anna Sakharova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790764793 PECOS PAC ID: 7113942780 Enrollment ID: I20051012000830 |
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