| Opus Therapy Lcsw, Pc | |
|
3515 75th St Apt 208 Jackson Hts NY 11372-4427 | |
| (917) 837-9194 | |
| Not Available |
| Full Name | Opus Therapy Lcsw, Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3515 75th St Apt 208, Jackson Hts, New York |
| Authorized Official Name and Position | Samantha Bennahum (CEO/SOLE SHARE HOLDER) |
| Authorized Official Contact | 9178379194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opus Therapy Lcsw, Pc 3515 75th St Apt 208 Jackson Hts NY 11372-4427 Ph: (917) 837-9194 | Opus Therapy Lcsw, Pc 3515 75th St Apt 208 Jackson Hts NY 11372-4427 Ph: (917) 837-9194 |
| NPI Number | 1770184459 |
|---|---|
| Provider Enumeration Date | 11/08/2020 |
| Last Update Date | 11/08/2020 |
| Certification Date | 11/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770184459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Queens County Neuropsychiatric Institute Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 37 64 72nd St, Jackson Hts, NY 11372 Phone: 718-335-3434 Fax: 718-335-4731 | |
Legacy Medical Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3741 77th St, Jackson Hts, NY 11372 Phone: 718-406-9588 |