| Richmond Behavioral Associates, Llc | |
|
4349 Hylan Blvd Staten Island NY 10312-6501 | |
| (718) 317-5522 | |
| (718) 317-5919 |
| Full Name | Richmond Behavioral Associates, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4349 Hylan Blvd, Staten Island, New York |
| Authorized Official Name and Position | Mark Dibuono (OWNER) |
| Authorized Official Contact | 7183175522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richmond Behavioral Associates, Llc 4349 Hylan Blvd Staten Island NY 10312-6501 Ph: (718) 317-5522 | Richmond Behavioral Associates, Llc 4349 Hylan Blvd Staten Island NY 10312-6501 Ph: (718) 317-5522 |
| NPI Number | 1922200609 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 05/16/2014 |
| Medicare PECOS PAC ID | 0648491290 |
|---|---|
| Medicare Enrollment ID | O20141023000718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922200609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 156059 (New York) | Primary |
| Provider Name | Jonathan Aronowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205880234 PECOS PAC ID: 0042209637 Enrollment ID: I20040510000287 |
| Provider Name | Mark Dibuono |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538143680 PECOS PAC ID: 6608883632 Enrollment ID: I20060315000455 |
| Provider Name | Rachel H Noone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285914580 PECOS PAC ID: 8729214580 Enrollment ID: I20131126001708 |
| Provider Name | Eli Shalenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013234202 PECOS PAC ID: 7214228774 Enrollment ID: I20160614001514 |
| Provider Name | Kimberly Colangelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659902831 PECOS PAC ID: 9830576339 Enrollment ID: I20220524000068 |
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