Cynthia Berkiw

Individual provider Active NPI Professional Counselor · Bay Shore, NY

NPI 1871378992 · NPPES record last updated Aug 28, 2023

Key facts

NPI
1871378992
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
$$$$$$$$$ (NY)
Practice address
1353 Richland Blvd
Bay Shore, NY 11706-5443
Phone
(631) 987-7416
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YP2500X $$$$$$$$$ NY Yes

Addresses

Primary practice location

1353 Richland Blvd
Bay Shore, NY 11706-5443

Mailing address

1353 Richland Blvd
Bay Shore, NY 11706-5443
Phone (631) 987-7416

Other providers in Bay Shore, NY

All providers in Bay Shore, NY · Professional Counselor in New York

Sources for this page

Verify at the official NPI Registry.