| Saras Haven Inc | |
|
24008 135th Ave Rosedale NY 11422-1511 | |
| (917) 615-7122 | |
| Not Available |
| Full Name | Saras Haven Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 24008 135th Ave, Rosedale, New York |
| Authorized Official Name and Position | Mencachem Mendel Hecht (OFFICE MANAGER) |
| Authorized Official Contact | 9176157122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saras Haven Inc 877 E 23rd St Brooklyn NY 11210-2819 Ph: (917) 615-7122 | Saras Haven Inc 24008 135th Ave Rosedale NY 11422-1511 Ph: (917) 615-7122 |
| NPI Number | 1326752460 |
|---|---|
| Provider Enumeration Date | 01/12/2023 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 9335580166 |
|---|---|
| Medicare Enrollment ID | O20240510002817 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326752460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Primary |
| Provider Name | Jezaida Rivera-alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265079651 PECOS PAC ID: 3577962281 Enrollment ID: I20210601000805 |
| Provider Name | Edan Simcha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265723712 PECOS PAC ID: 2466879697 Enrollment ID: I20220511002476 |
| Provider Name | Yaacov Weinstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699394759 PECOS PAC ID: 9335580661 Enrollment ID: I20240516003441 |
| Provider Name | Amanda Berman Levy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831207026 PECOS PAC ID: 6002853462 Enrollment ID: I20250530000271 |
| Provider Name | Erica Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356898845 PECOS PAC ID: 0749788974 Enrollment ID: I20250807002959 |
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