Individual ProviderManal GhanimCounselorBehavioral Health & Social Service ProvidersPractice Address1887 Richmond Ave Ste 5, Staten Island, NY 10314-3923(718) 698-1300PECOS EnrollmentBased on the most recent information from CMS, provider Manal Ghanim does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 1:08 PM.Profile DetailsProvider ID1437963667Provider TypeIndividualFull NameGhanim, ManalGenderFemaleSole ProprietorYesEnumeration Date2/6/2025Last Updated2/6/2025Contact InformationPractice LocationPractice Address1887 Richmond Ave Ste 5, Staten Island, NY 10314-3923Phone(718) 698-1300Fax(917) 677-6801Mailing LocationMailing Address1887 Richmond Ave Ste 5, Staten Island, NY 10314-3923Phone(718) 698-1300Fax(917) 677-6801Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer