| Open Hands Multi-counseling Services | |
|
20 Stuyvesant Ave Mastic NY 11950-2410 | |
| (631) 745-8205 | |
| (631) 846-4223 |
| Full Name | Open Hands Multi-counseling Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 20 Stuyvesant Ave, Mastic, New York |
| Authorized Official Name and Position | Jose Vargas (PRESIDENT) |
| Authorized Official Contact | 6317458205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Hands Multi-counseling Services 14 Mill Dr Mastic Beach NY 11951-1803 Ph: (631) 745-8205 | Open Hands Multi-counseling Services 20 Stuyvesant Ave Mastic NY 11950-2410 Ph: (631) 745-8205 |
| NPI Number | 1356017057 |
|---|---|
| Provider Enumeration Date | 08/22/2021 |
| Last Update Date | 08/22/2021 |
| Certification Date | 08/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356017057 | NPI | - | NPPES |
| 03541480 | Medicaid | NY | |
| 078403-1 | Other | NY | LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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