Nadav Antebi-Gruszka | New York, NY • PECOS Search

Nadav Antebi-Gruszka

Counselor

Behavioral Health & Social Service Providers

49 W 24th St Ste 1002, New York, NY 10010-3543

(646) 770-0535 (607) 280-5557

PECOS Enrollment

Based on the most recent information from CMS, provider Nadav Antebi-Gruszka 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 today at 9:42 AM.

Profile Details

Provider ID
1093282774
Provider Type
Individual
Full Name
Antebi-Gruszka, Nadav
Title
Dr.
Credential
PHD, MHC-LP

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/31/2018
Last Updated
6/11/2019

Contact Information

Practice Location

49 W 24th St Ste 1002, New York, NY 10010-3543

Unlisted Fax

Mailing Location

270 Fort Washington Ave Apt 21, New York, NY 10032-1310

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License P13871 New York