Kimberly Niyogi, MACC, LPC | |
51 Market St, Bangor, PA 18013-1901 | |
(610) 588-9109 | |
Not Available |
Full Name | Kimberly Niyogi |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 51 Market St, Bangor, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033615240 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC014528 (Pennsylvania) | Secondary |
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Methodist Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457386328 PECOS PAC ID: 5193034718 Enrollment ID: O20151022001074 |
Mailing Address | Practice Location Address |
---|---|
Kimberly Niyogi, MACC, LPC 914 Paxinosa Ave, Easton, PA 18042-1309 Ph: (610) 217-9030 | Kimberly Niyogi, MACC, LPC 51 Market St, Bangor, PA 18013-1901 Ph: (610) 588-9109 |
Melissa Amator, MS, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 Broadway, Bangor, PA 18013 Phone: 610-599-7700 Fax: 610-599-7714 | |
Elianna Altagracia Aguirre, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 Broadway, Bangor, PA 18013 Phone: 610-599-7700 | |
Ms. Lisa Michele Willson, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Market St, Bangor, PA 18013 Phone: 610-588-9109 | |
Dody Star Siegfried, MAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Market St, Bangor, PA 18013 Phone: 610-588-9109 | |
Gregory Vaughan Appleton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 Broadway, Bangor, PA 18013 Phone: 610-599-7700 | |
Mrs. Jennifer Cambi Akob, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Market St, Bangor, PA 18013 Phone: 610-588-9109 |