Kersendria S Abdullah, MSW
Individual provider Active NPI Mental Health Counselor · Rego Park, NY
NPI 1922265115 · NPPES record last updated May 16, 2008
Key facts
- NPI
- 1922265115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 9729 64TH Rd
Rego Park, NY 11374-2240 - Phone
- (718) 896-3400
- Fax
- (718) 459-5621
- NPI assigned
- May 16, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Consultation Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
9729 64TH Rd
Rego Park, NY 11374-2240
Mailing address
17739 106TH Ave
Jamaica, NY 11433-1804
Phone (718) 206-1238
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00244019 | Medicaid | NY |
Other providers in Rego Park, NY
- Robert S Abaev
- Boris Abayev
- David Abayev
- Naphtalia Esther Abayev
- Nicola Abbadessa
- Alex Adrian Medina Abragan
- Joseph Abraham
- Olga Abraham
- Hal Fredric Abrahamson
- Yakub Abrakhimov
All providers in Rego Park, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.