| Sentinel Services Group Inc | |
|
232 N Main St Spring Valley NY 10977-4020 | |
| (845) 241-9724 | |
| Not Available |
| Full Name | Sentinel Services Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 232 N Main St, Spring Valley, New York |
| Authorized Official Name and Position | Aryeh Gorelick (CONTROLLER) |
| Authorized Official Contact | 8452419724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sentinel Services Group Inc 232 N Main St Spring Valley NY 10977-4020 Ph: (845) 241-9724 | Sentinel Services Group Inc 232 N Main St Spring Valley NY 10977-4020 Ph: (845) 241-9724 |
| NPI Number | 1144891375 |
|---|---|
| Provider Enumeration Date | 07/08/2021 |
| Last Update Date | 02/22/2022 |
| Certification Date | 02/22/2022 |
| Medicare PECOS PAC ID | 6901290717 |
|---|---|
| Medicare Enrollment ID | O20220221001691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144891375 | NPI | - | NPPES |
| Provider Name | Stephen William Buckley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942211255 PECOS PAC ID: 1355340423 Enrollment ID: I20061219000275 |
| Provider Name | Claudio M Vazquez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083762587 PECOS PAC ID: 9931269974 Enrollment ID: I20081120000111 |
| Provider Name | Stacey Monique Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285951657 PECOS PAC ID: 6800869827 Enrollment ID: I20161201001525 |
| Provider Name | Malky Berger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831582790 PECOS PAC ID: 9133480510 Enrollment ID: I20180227002055 |
| Provider Name | Leslie Lange |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497207211 PECOS PAC ID: 2860755618 Enrollment ID: I20180803001136 |
| Provider Name | Martin Weinberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073925798 PECOS PAC ID: 8729410931 Enrollment ID: I20191108001441 |
| Provider Name | Lana Bukley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477066199 PECOS PAC ID: 4284054032 Enrollment ID: I20220603000798 |
| Provider Name | Miriam Weinberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639230402 PECOS PAC ID: 1456718519 Enrollment ID: I20230605001569 |
| Provider Name | Jacqueline Celine L Dongmo Mekontchou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225453715 PECOS PAC ID: 1759797665 Enrollment ID: I20230609000811 |
| Provider Name | Karen F Fireman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437695806 PECOS PAC ID: 5890072706 Enrollment ID: I20230911000887 |
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