| Aurora Wellness Llc | |
|
1713 Lawrence Rd Mohegan Lake NY 10547-1617 | |
| (914) 438-5121 | |
| Not Available |
| Full Name | Aurora Wellness Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1713 Lawrence Rd, Mohegan Lake, New York |
| Authorized Official Name and Position | Paul A Cristofano (OWNER) |
| Authorized Official Contact | 9144385121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Wellness Llc 1713 Lawrence Rd Mohegan Lake NY 10547-1617 Ph: (914) 438-5121 | Aurora Wellness Llc 1713 Lawrence Rd Mohegan Lake NY 10547-1617 Ph: (914) 438-5121 |
| NPI Number | 1750142261 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/22/2024 |
| Medicare PECOS PAC ID | 0648615187 |
|---|---|
| Medicare Enrollment ID | O20240223003385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750142261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Paul Anthony Cristofano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336596998 PECOS PAC ID: 9537590351 Enrollment ID: I20220822000426 |
James Weaver Psychological Services Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1994 E Main St, Mohegan Lake, NY 10547 Phone: 646-239-9357 |