| Mending Hearts Counseling Inc. | |
|
1975 Linden Blvd Elmont NY 11003-4025 | |
| (516) 751-4020 | |
| Not Available |
| Full Name | Mending Hearts Counseling Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1975 Linden Blvd, Elmont, New York |
| Authorized Official Name and Position | Michael Krugolets (OPERATIONS MANAGER) |
| Authorized Official Contact | 7188139924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mending Hearts Counseling Inc. 115 Graham Blvd Staten Island NY 10305-4005 Ph: (718) 813-9924 | Mending Hearts Counseling Inc. 1975 Linden Blvd Elmont NY 11003-4025 Ph: (516) 751-4020 |
| NPI Number | 1235951674 |
|---|---|
| Provider Enumeration Date | 10/28/2024 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Medicare PECOS PAC ID | 0042748766 |
|---|---|
| Medicare Enrollment ID | O20250109000083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235951674 | NPI | - | NPPES |
| Provider Name | Peter J Margulis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063544450 PECOS PAC ID: 1850383365 Enrollment ID: I20100212000054 |
| Provider Name | Anne Petraro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225564933 PECOS PAC ID: 2860920584 Enrollment ID: I20250110000043 |
| Provider Name | Marina Krugolets |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033311709 PECOS PAC ID: 3779011499 Enrollment ID: I20250115000099 |
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