| Abby Venzor Lcsw Psychotherapy Pc | |
|
140 Benkard Ave Newburgh NY 12550-5805 | |
| (347) 693-3347 | |
| Not Available |
| Full Name | Abby Venzor Lcsw Psychotherapy Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 140 Benkard Ave, Newburgh, New York |
| Authorized Official Name and Position | Abby J Venzor (PRESIDENT) |
| Authorized Official Contact | 3476933347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abby Venzor Lcsw Psychotherapy Pc 140 Benkard Ave Newburgh NY 12550-5805 Ph: (347) 693-3347 | Abby Venzor Lcsw Psychotherapy Pc 140 Benkard Ave Newburgh NY 12550-5805 Ph: (347) 693-3347 |
| NPI Number | 1689268732 |
|---|---|
| Provider Enumeration Date | 03/01/2021 |
| Last Update Date | 03/01/2021 |
| Certification Date | 03/01/2021 |
| Medicare PECOS PAC ID | 4880072750 |
|---|---|
| Medicare Enrollment ID | O20220606000462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689268732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Abby J Venzor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962792259 PECOS PAC ID: 1153663158 Enrollment ID: I20190423000979 |
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