| Avita Psycare | |
|
1177 Avenue Of The Americas Fl 5 New York NY 10036-2714 | |
| (888) 284-8272 | |
| (888) 284-8272 |
| Full Name | Avita Psycare |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1177 Avenue Of The Americas Fl 5, New York, New York |
| Authorized Official Name and Position | Kalman Khodik (OWNER/DIRECTOR) |
| Authorized Official Contact | 8882848272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avita Psycare 1177 Avenue Of The Americas Fl 5 New York NY 10036-2714 Ph: (888) 284-8272 | Avita Psycare 1177 Avenue Of The Americas Fl 5 New York NY 10036-2714 Ph: (888) 284-8272 |
| NPI Number | 1851852545 |
|---|---|
| Provider Enumeration Date | 03/26/2019 |
| Last Update Date | 06/13/2022 |
| Certification Date | 06/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851852545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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