Provider Demographics
NPI:1700266095
Name:MENAHAL BEGAWALA
Entity Type:Organization
Organization Name:MENAHAL BEGAWALA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MENAHAL
Authorized Official - Middle Name:
Authorized Official - Last Name:BEGAWALA
Authorized Official - Suffix:
Authorized Official - Credentials:MHC
Authorized Official - Phone:718-909-9405
Mailing Address - Street 1:8744 SANTIAGO ST
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NY
Mailing Address - Zip Code:11423-1120
Mailing Address - Country:US
Mailing Address - Phone:718-909-9405
Mailing Address - Fax:
Practice Address - Street 1:8744 SANTIAGO ST
Practice Address - Street 2:
Practice Address - City:HOLLIS
Practice Address - State:NY
Practice Address - Zip Code:11423-1120
Practice Address - Country:US
Practice Address - Phone:718-909-9405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health