Provider Demographics
NPI:1336347251
Name:NEW HORIZON COUNSELING CENTER
Entity type:Organization
Organization Name:NEW HORIZON COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ISAC
Authorized Official - Middle Name:
Authorized Official - Last Name:BECHOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-845-2620
Mailing Address - Street 1:108-19 ROCKAWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11420
Mailing Address - Country:US
Mailing Address - Phone:718-845-2620
Mailing Address - Fax:718-845-9380
Practice Address - Street 1:NEW HORIZON COUNSELING CENTER
Practice Address - Street 2:115-02 OCEAN PROMENADE
Practice Address - City:ROCKAWAY BEACH
Practice Address - State:NY
Practice Address - Zip Code:11694
Practice Address - Country:US
Practice Address - Phone:718-634-6081
Practice Address - Fax:718-845-9380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02738301Medicaid