Andrei Darrell Hoover | Jamaica, NY • PECOS Search

Andrei Darrell Hoover

Counselor

Behavioral Health & Social Service Providers

16007 132nd Ave Side Door, Jamaica, NY 11434-2911

PECOS Enrollment

Based on the most recent information from CMS, provider Andrei Darrell Hoover does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1023592250
Provider Type
Individual
Full Name
Hoover, Andrei Darrell
Title
Mr.
Credential
LCSW-R, ACSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
9/24/2018
Last Updated
9/24/2018

Contact Information

Practice Location

16007 132nd Ave Side Door, Jamaica, NY 11434-2911

Unlisted Fax

Mailing Location

16007 132nd Ave Side Door, Jamaica, NY 11434-2911

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 022817R New York