Healthcare Provider Details

I. General information

NPI: 1225431604
Provider Name (Legal Business Name): BEGDAN INTEGRATED COUNSELING LCSW PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2014
Last Update Date: 10/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 OTIS AVE
STATEN ISLAND NY
10306-3111
US

IV. Provider business mailing address

223 OTIS AVE
STATEN ISLAND NY
10306-3111
US

V. Phone/Fax

Practice location:
  • Phone: 212-203-6434
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BAIANA TURATOVA
Title or Position: SOLE PROPRIETOR
Credential: LCSW, CCM
Phone: 212-203-6434