| Abc Psychiatric Consultant Llc | |
|
31 Mountain Blvd Suite 31w Warren NJ 07059-5644 | |
| (908) 769-8582 | |
| (908) 222-1780 |
| Full Name | Abc Psychiatric Consultant Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 31 Mountain Blvd, Warren, New Jersey |
| Authorized Official Name and Position | Qinyue Liu (PHYSICIAN) |
| Authorized Official Contact | 9082221532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abc Psychiatric Consultant Llc 115 Parlin Ln Watchung NJ 07069-5400 Ph: (908) 222-1532 | Abc Psychiatric Consultant Llc 31 Mountain Blvd Suite 31w Warren NJ 07059-5644 Ph: (908) 769-8582 |
| NPI Number | 1114256641 |
|---|---|
| Provider Enumeration Date | 12/11/2009 |
| Last Update Date | 12/11/2009 |
| Medicare PECOS PAC ID | 3173663853 |
|---|---|
| Medicare Enrollment ID | O20091211000215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114256641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 25 MA07175700 (New Jersey) | Primary |
| Provider Name | Qinyue Liu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083753669 PECOS PAC ID: 5890880538 Enrollment ID: I20070926000971 |
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