| Queens Cognitive Behavioral Therapy Psychology, Pllc | |
|
14108 Jewel Ave Flushing NY 11367-1618 | |
| (347) 815-4228 | |
| (347) 402-8186 |
| Full Name | Queens Cognitive Behavioral Therapy Psychology, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 14108 Jewel Ave, Flushing, New York |
| Authorized Official Name and Position | Benjamin Zvi Grysman (OWNER/DIRECTOR) |
| Authorized Official Contact | 3478154228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Cognitive Behavioral Therapy Psychology, Pllc 14108 Jewel Ave Flushing NY 11367-1618 Ph: (347) 815-4228 | Queens Cognitive Behavioral Therapy Psychology, Pllc 14108 Jewel Ave Flushing NY 11367-1618 Ph: (347) 815-4228 |
| NPI Number | 1104356195 |
|---|---|
| Provider Enumeration Date | 06/13/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104356195 | NPI | - | NPPES |
| P5268379 | Other | NY | UNITED HEALTH CARE OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 003047 (New York) | Secondary |
| 103T00000X | Psychologist | 019732 (New York) | Primary |
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