Healthcare Provider Details
I. General information
NPI: 1851141170
Provider Name (Legal Business Name): HINDA KUGEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/27/2024
Last Update Date: 03/27/2024
Certification Date: 03/27/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1268 E 14TH ST
BROOKLYN NY
11230-5241
US
IV. Provider business mailing address
1268 E 14TH ST
BROOKLYN NY
11230-5241
US
V. Phone/Fax
- Phone: 718-382-0045
- Fax: 929-306-7445
- Phone: 718-382-0045
- Fax: 929-306-7445
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: