| Advanced Psychological Care Pc | |
|
62 Whitman Dr Brooklyn NY 11234-6703 | |
| (718) 209-6561 | |
| Not Available |
| Full Name | Advanced Psychological Care Pc |
|---|---|
| Speciality | Psychologist |
| Location | 62 Whitman Dr, Brooklyn, New York |
| Authorized Official Name and Position | Bella Dorman (PRESIDENT) |
| Authorized Official Contact | 9177048148 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Psychological Care Pc 62 Whitman Dr Brooklyn NY 11234-6703 Ph: (718) 209-6561 | Advanced Psychological Care Pc 62 Whitman Dr Brooklyn NY 11234-6703 Ph: (718) 209-6561 |
| NPI Number | 1346500980 |
|---|---|
| Provider Enumeration Date | 05/16/2012 |
| Last Update Date | 06/22/2012 |
| Medicare PECOS PAC ID | 4880858232 |
|---|---|
| Medicare Enrollment ID | O20120614000419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346500980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 016309 (New York) | Primary |
| Provider Name | Bella Dorman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326043498 PECOS PAC ID: 1355371634 Enrollment ID: I20050816001008 |
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