| 2nd Chance Np In Psychiatry Pc | |
|
733 3rd Ave Fl 16 New York NY 10017-3224 | |
| (347) 530-7373 | |
| Not Available |
| Full Name | 2nd Chance Np In Psychiatry Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 733 3rd Ave Fl 16, New York, New York |
| Authorized Official Name and Position | Chiedozie C Chigewe (OWNER) |
| Authorized Official Contact | 5512755674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 2nd Chance Np In Psychiatry Pc 9404 218th St Queens Village NY 11428-2139 Ph: (551) 275-5674 | 2nd Chance Np In Psychiatry Pc 733 3rd Ave Fl 16 New York NY 10017-3224 Ph: (347) 530-7373 |
| NPI Number | 1770280844 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 07/05/2023 |
| Certification Date | 07/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770280844 | NPI | - | NPPES |
| 06431474 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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