Dr Kenneth Lee Caccavale, MD | |
39 Jane St, Suite #1e, New York, NY 10014-5106 | |
(212) 243-9085 | |
(212) 243-9085 |
Full Name | Dr Kenneth Lee Caccavale |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 54 Years |
Location | 39 Jane St, New York, New York |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821281288 | NPI | - | NPPES |
00215518 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 116401-1 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Metropolitan Community Services Inc | 0749549178 | 2 |
Entity Name | Clearwater Counseling Associates Lcsw Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700236775 PECOS PAC ID: 4082900188 Enrollment ID: O20160915000267 |
Entity Name | Metropolitan Community Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326590993 PECOS PAC ID: 0749549178 Enrollment ID: O20180110002999 |
Entity Name | Brooklyn 38 Lcsw Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639799216 PECOS PAC ID: 7113349481 Enrollment ID: O20200616001151 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Lee Caccavale, MD 39 Jane St, Suite #1e, New York, NY 10014-5106 Ph: (212) 243-9085 | Dr Kenneth Lee Caccavale, MD 39 Jane St, Suite #1e, New York, NY 10014-5106 Ph: (212) 243-9085 |
Dr. Jahannaz Dastgir, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 710 W 168th St, New York, NY 10032 Phone: 646-426-3876 Fax: 212-342-6865 | |
Dr. Lawrence S, Kegeles, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1051 Riverside Drive, Unit 31, New York, NY 10032 Phone: 212-543-5497 Fax: 212-568-6171 | |
Dr. Risa Ribakove, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 135 E 12th St, Second Floor, New York, NY 10003 Phone: 212-229-1671 | |
Dr. Laura Raquel Sirulnik, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 15 W 63rd St Apt 33a, New York, NY 10023 Phone: 646-258-8535 | |
Dr. Amanda Moberg Wilson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 21 W 86th St, Suite 209, New York, NY 10024 Phone: 917-715-2886 | |
Dr. Jose Dtm Gutierrez, MD, MPH Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 710 W 168th St, 6th Floor, New York, NY 10032 Phone: 212-305-8389 | |
Nathaniel Mendelsohn, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 950 Park Ave, New York, NY 10028 Phone: 646-389-1447 |