Jacob Darer, | |
300 Wright Avenue, Marcy, NY 13404 | |
(315) 736-8271 | |
Not Available |
Full Name | Jacob Darer |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 300 Wright Avenue, Marcy, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588866172 | NPI | - | NPPES |
137078 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 137078 (New York) | Primary |
Entity Name | St Joseph's Hospital Yonkers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356316921 PECOS PAC ID: 0547156176 Enrollment ID: O20040223000340 |
Mailing Address | Practice Location Address |
---|---|
Jacob Darer, 8 Pepperidge Ln, White Plains, NY 10605-4453 Ph: () - | Jacob Darer, 300 Wright Avenue, Marcy, NY 13404 Ph: (315) 736-8271 |
Paulo Espanola, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 Wright Avenue, Marcy, NY 13404 Phone: 315-736-8271 | |
Luis E Hernandez, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 Wright Avenue, Marcy, NY 13404 Phone: 315-736-8271 | |
Diane S Baynon, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 300 Wright Avenue, Marcy, NY 13404 Phone: 315-736-8271 | |
Helene M Tomberelli, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 Wright Avenue, Marcy, NY 13404 Phone: 315-736-8271 | |
Paul Daugherty, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 Wright Avenue, Marcy, NY 13404 Phone: 315-736-8271 | |
Lawrence Farago, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 Wright Avenue, Marcy, NY 13404 Phone: 315-736-8271 | |
Syed Mahmud, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 300 Wright Avenue, Marcy, NY 13404 Phone: 315-736-8271 |