Mr Jean Vernet Souffrant Sr, MA NCPSYA is a
Psychoanalyst based in Corona, New York. Mr Jean Vernet Souffrant Sr is licensed to practice in New York (license number 0001361) and his current practice location is
110-17 37th Avenue, Corona, New York. He can be reached at his office (for appointments etc.) via phone at
(718) 429-1825.
NPI number for Mr Jean Vernet Souffrant Sr is 1881885440 and his current mailing address is 110-17 37th Avenue, Corona, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881885440.
Healthcare Provider's Profile
Full Name | Mr Jean Vernet Souffrant Sr |
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Gender | Male |
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Speciality | Psychoanalyst |
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Location | 110-17 37th Avenue, Corona, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881885440
- Provider Enumeration Date: 08/07/2007
- Last Update Date: 08/07/2007
Medical Identifiers
Medical identifiers for Mr Jean Vernet Souffrant Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881885440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 003761 (New York) | Secondary |
102L00000X | Psychoanalyst | 0001361 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jean Vernet Souffrant Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Jean Vernet Souffrant Sr, MA NCPSYA 110-17 37th Avenue, Corona, NY 11368 Ph: (718) 429-1825 | Mr Jean Vernet Souffrant Sr, MA NCPSYA 110-17 37th Avenue, Corona, NY 11368 Ph: (718) 429-1825 |
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