| New Hope Rising, Inc | |
|
9 Southaven Ave Mastic NY 11950-3907 | |
| (631) 336-9990 | |
| (631) 772-4688 |
| Full Name | New Hope Rising, Inc |
|---|---|
| Speciality | Case Management |
| Location | 9 Southaven Ave, Mastic, New York |
| Authorized Official Name and Position | Danielle Bruschi (CO-FOUNDER/PRESIDENT) |
| Authorized Official Contact | 6313776868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Hope Rising, Inc Po Box 115 Mastic NY 11950-0115 Ph: (631) 336-9990 | New Hope Rising, Inc 9 Southaven Ave Mastic NY 11950-3907 Ph: (631) 336-9990 |
| NPI Number | 1316342108 |
|---|---|
| Provider Enumeration Date | 10/23/2014 |
| Last Update Date | 10/23/2014 |
| Medicare PECOS PAC ID | 3274801618 |
|---|---|
| Medicare Enrollment ID | O20170608000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316342108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (New York) | Primary |
| Provider Name | Mary Alyce Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558809640 PECOS PAC ID: 8224306667 Enrollment ID: I20170608000184 |
| Provider Name | Tegan J Hulse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215381447 PECOS PAC ID: 8628493434 Enrollment ID: I20200810002716 |
| Provider Name | Joan Stong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871045047 PECOS PAC ID: 4284081845 Enrollment ID: I20231103002607 |
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