| Azny Psychological Services P.c. | |
|
585 Stewart Ave Garden City NY 11530-4783 | |
| (516) 222-8954 | |
| (516) 222-8957 |
| Full Name | Azny Psychological Services P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 585 Stewart Ave, Garden City, New York |
| Authorized Official Name and Position | Robert A Block (PRESIDENT) |
| Authorized Official Contact | 5162228954 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Azny Psychological Services P.c. 585 Stewart Ave Garden City NY 11530-4783 Ph: (516) 222-8954 | Azny Psychological Services P.c. 585 Stewart Ave Garden City NY 11530-4783 Ph: (516) 222-8954 |
| NPI Number | 1427258508 |
|---|---|
| Provider Enumeration Date | 07/18/2007 |
| Last Update Date | 03/05/2008 |
| Medicare PECOS PAC ID | 7113012246 |
|---|---|
| Medicare Enrollment ID | O20071003000712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427258508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 014636 (New York) | Primary |
| Provider Name | Robert A Block |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982677050 PECOS PAC ID: 2961478482 Enrollment ID: I20071003000699 |
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