Timothy E Jervis, CASAC-T CRPA-P | |
20 Sickles Ave, New Rochelle, NY 10801-4030 | |
(914) 613-0700 | |
(914) 355-5425 |
Full Name | Timothy E Jervis |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 20 Sickles Ave, New Rochelle, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790317956 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 32080 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Timothy E Jervis, CASAC-T CRPA-P 14 Amsterdam Pl Apt 4a, Mount Vernon, NY 10553-1474 Ph: (646) 271-3281 | Timothy E Jervis, CASAC-T CRPA-P 20 Sickles Ave, New Rochelle, NY 10801-4030 Ph: (914) 613-0700 |
Mr. Elliot Resnick, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Bon Air Ave., New Rochelle, NY 10804 Phone: 914-235-7854 | |
Neena Elizabeth Joseph, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Sickles Ave, New Rochelle, NY 10801 Phone: 914-613-0700 | |
Katia Trevisan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 58 Dusk Dr, New Rochelle, NY 10804 Phone: 914-576-9474 | |
Vanessa Guest, Counselor Medicare: Not Enrolled in Medicare Practice Location: 271 North Ave, New Rochelle, NY 10801 Phone: 646-854-8026 | |
Mr. Jesus Manuel Vega-cabrera, CASAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Cottage Pl, New Rochelle, NY 10801 Phone: 914-235-6633 | |
Madeleine Anne Carsky, CASAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Cottage Pl, New Rochelle, NY 10801 Phone: 914-235-6633 Fax: 914-633-3319 | |
Ms. Adriana Carolina Daza, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 481 Main St, Suite 401, New Rochelle, NY 10801 Phone: 914-355-2440 |