| Ameice International | |
|
50 Norfolk St Newark NJ 07103-3228 | |
| (973) 623-3386 | |
| Not Available |
| Full Name | Ameice International |
|---|---|
| Speciality | Psychologist |
| Location | 50 Norfolk St, Newark, New Jersey |
| Authorized Official Name and Position | Candrick C. Darkashade (CEO) |
| Authorized Official Contact | 8484671409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ameice International 610 Forest View Dr Avenel NJ 07001-2176 Ph: () - | Ameice International 50 Norfolk St Newark NJ 07103-3228 Ph: (973) 623-3386 |
| NPI Number | 1235654088 |
|---|---|
| Provider Enumeration Date | 08/12/2017 |
| Last Update Date | 08/12/2017 |
| Medicare PECOS PAC ID | 9133477706 |
|---|---|
| Medicare Enrollment ID | O20180731000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235654088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 173-040 (New Jersey) | Primary |
| Provider Name | Candrick C Darkashade |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225553084 PECOS PAC ID: 4183972755 Enrollment ID: I20180731000664 |
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