Healthcare Provider Details

I. General information

NPI: 1932061611
Provider Name (Legal Business Name): REGO PARK COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7182 PARSONS BLVD
FRESH MEADOWS NY
11365-4599
US

IV. Provider business mailing address

7182 PARSONS BLVD
FRESH MEADOWS NY
11365-4599
US

V. Phone/Fax

Practice location:
  • Phone: 718-839-2050
  • Fax: 718-839-2166
Mailing address:
  • Phone: 718-839-2050
  • Fax: 718-839-2166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EMANUIL KALENDAREV
Title or Position: PRESIDENT
Credential:
Phone: 718-496-3834