| Supportive Care Psychiatry Of Ny Pc | |
|
7810 164th St Fresh Meadows NY 11366-1229 | |
| (866) 708-1240 | |
| Not Available |
| Full Name | Supportive Care Psychiatry Of Ny Pc |
|---|---|
| Speciality | Psychologist |
| Location | 7810 164th St, Fresh Meadows, New York |
| Authorized Official Name and Position | Dov Newmark (CEO) |
| Authorized Official Contact | 7182982753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Care Psychiatry Of Ny Pc 27 Randolph Rd Howell NJ 07731-8611 Ph: () - | Supportive Care Psychiatry Of Ny Pc 7810 164th St Fresh Meadows NY 11366-1229 Ph: (866) 708-1240 |
| NPI Number | 1740994433 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 01/09/2023 |
| Certification Date | 01/09/2023 |
| Medicare PECOS PAC ID | 4981076247 |
|---|---|
| Medicare Enrollment ID | O20230214002558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740994433 | NPI | - | NPPES |
| Provider Name | Edith Bugenia Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982732301 PECOS PAC ID: 8628020294 Enrollment ID: I20050211000741 |
| Provider Name | Laneasha Marie Eudell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811407745 PECOS PAC ID: 9739449455 Enrollment ID: I20180127000067 |
| Provider Name | Jorge Aguilar Zanatta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477704971 PECOS PAC ID: 9335396969 Enrollment ID: I20200925001096 |
| Provider Name | Jeffrey Nozius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265813703 PECOS PAC ID: 4688059520 Enrollment ID: I20220914000155 |
| Provider Name | Tresha Diana Maragh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134518665 PECOS PAC ID: 9830560788 Enrollment ID: I20230201000266 |
| Provider Name | Landy F Pollas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710602701 PECOS PAC ID: 8022487602 Enrollment ID: I20230207001001 |
| Provider Name | Be Pietros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184917726 PECOS PAC ID: 5799144283 Enrollment ID: I20230630001263 |
| Provider Name | Keith Steven Frawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760252522 PECOS PAC ID: 9739523812 Enrollment ID: I20240216000643 |
| Provider Name | Zarafshan Sheikh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386392934 PECOS PAC ID: 1850738022 Enrollment ID: I20240322003707 |
| Provider Name | Emily Brooke Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114763455 PECOS PAC ID: 2365980596 Enrollment ID: I20240819001980 |
| Provider Name | Jacquelyn Ransbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982466231 PECOS PAC ID: 2062947666 Enrollment ID: I20241119003722 |
| Provider Name | Brandon Michael Collings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013644152 PECOS PAC ID: 3971970765 Enrollment ID: I20250113001852 |
| Provider Name | Josephine Meh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033698758 PECOS PAC ID: 1456877893 Enrollment ID: I20250429000684 |
Ayelet P Goldberg, Lcsw, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6143 186th St Ste 312, Fresh Meadows, NY 11365 Phone: 917-923-7644 | |
Universal Assessment And Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6921 164th St Ste 8, Fresh Meadows, NY 11365 Phone: 718-380-0009 Fax: 718-380-0030 | |
Rebecca's Aba Play Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7547 181st St, Fresh Meadows, NY 11366 Phone: 718-503-2502 | |
Spectrum Therapeutics Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16216 Union Tpke, Suite 303, Fresh Meadows, NY 11366 Phone: 718-264-7250 Fax: 718-264-7922 | |
Recuperative Psychiatric Services Of Queens Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 163-03 Horace Harding Exprewssway, Suite 301, Fresh Meadows, NY 11365 Phone: 347-732-9646 | |
Emorys Annex Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7523 168th St, Fresh Meadows, NY 11366 Phone: 917-601-9029 | |
Complete Care Psychological Services, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6143 186th St, Fresh Meadows, NY 11365 Phone: 646-653-3303 |