Individual ProviderPeta-Gaye T SandifordCounselorBehavioral Health & Social Service ProvidersPractice Address16 Madison Sq W Fl 10, New York, NY 10010-1629(347) 947-7082PECOS EnrollmentBased on the most recent information from CMS, provider Peta-Gaye T Sandiford 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 today at 9:42 AM.Profile DetailsProvider ID1730641259Provider TypeIndividualFull NameSandiford, Peta-Gaye TCredentialLMHCGenderFemaleSole ProprietorNoEnumeration Date4/3/2019Last Updated7/28/2021Contact InformationPractice LocationPractice Address16 Madison Sq W Fl 10, New York, NY 10010-1629Phone(347) 947-7082Fax(914) 462-3671Mailing LocationMailing Address16 Madison Sq W Fl 10, New York, NY 10010-1629Phone(347) 947-7082Fax(914) 462-3671Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense009392-1New YorkProvider IdentifiersIDDescriptionIssuerID1700346400DescriptionMedicaidIssuerUnlistedNew York