Barbara F Pats Phd Psychologist Pllc | |
413 Kenwood Ave Delmar NY 12054-3231 | |
(518) 439-0090 | |
Not Available |
Full Name | Barbara F Pats Phd Psychologist Pllc |
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Speciality | Psychologist |
Location | 413 Kenwood Ave, Delmar, New York |
Authorized Official Name and Position | Barbara F Pats (SOLE MEMBER) |
Authorized Official Contact | 5184390090 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Barbara F Pats Phd Psychologist Pllc 413 Kenwood Ave Delmar NY 12054-3231 Ph: (518) 439-0090 | Barbara F Pats Phd Psychologist Pllc 413 Kenwood Ave Delmar NY 12054-3231 Ph: (518) 439-0090 |
NPI Number | 1497153886 |
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Provider Enumeration Date | 12/17/2014 |
Last Update Date | 12/17/2014 |
Medicare PECOS PAC ID | 2062730161 |
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Medicare Enrollment ID | O20150511000023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497153886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 010374 (New York) | Primary |
Provider Name | Barbara F Pats |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1477624914 PECOS PAC ID: 1850499542 Enrollment ID: I20070604000442 |
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