Felice Ellen Barasch-Giedt, LCSW

Individual provider Active NPI Specialist · Williston Park, NY

NPI 1124249966 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124249966
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
License
R-027582-1 (NY)
Practice address
101D Hillside Ave.
Williston Park, NY 11596
Phone
(516) 487-0580
Fax
(516) 487-5676
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Opted out of Medicare
Yes, effective Apr 1, 2019 through Apr 1, 2027

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
R-027582-1NYMDSpecialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X R-027582-1 NY Yes

Addresses

Primary practice location

101D Hillside Ave.
Williston Park, NY 11596

Mailing address

PO Box 220237
Great Neck, NY 11022-0237
Phone (516) 487-0580

Other identifiers

IdentifierTypeStateIssuer
0022171OtherNYGHI

Other providers in Williston Park, NY

All providers in Williston Park, NY · Specialist in New York

Sources for this page

Verify at the official NPI Registry.