| Mount Support Llc | |
|
545 Broadway Ste 2b Brooklyn NY 11206-2962 | |
| (718) 400-9077 | |
| Not Available |
| Full Name | Mount Support Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 545 Broadway Ste 2b, Brooklyn, New York |
| Authorized Official Name and Position | Zalmen Lovi (PRESIDENT) |
| Authorized Official Contact | 7184009077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Support Llc 4403 15th Ave Ste 499 Brooklyn NY 11219-1604 Ph: (718) 400-9077 | Mount Support Llc 545 Broadway Ste 2b Brooklyn NY 11206-2962 Ph: (718) 400-9077 |
| NPI Number | 1255188868 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 07/24/2025 |
| Certification Date | 07/24/2025 |
| Medicare PECOS PAC ID | 1052851110 |
|---|---|
| Medicare Enrollment ID | O20240904003431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255188868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Flore Marie Menardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457401952 PECOS PAC ID: 5496949943 Enrollment ID: I20101029000008 |
| Provider Name | Mark Benisz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831560010 PECOS PAC ID: 7012366974 Enrollment ID: I20231218002395 |
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