| Barry Bachenheimer Social Worker Pllc | |
|
5 Fairlawn Dr Washingtonville NY 10992-1285 | |
| (845) 496-6029 | |
| Not Available |
| Full Name | Barry Bachenheimer Social Worker Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 5 Fairlawn Dr, Washingtonville, New York |
| Authorized Official Name and Position | Barry Bachenheimer (OWNER) |
| Authorized Official Contact | 8454966029 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barry Bachenheimer Social Worker Pllc Po Box 201 Washingtonville NY 10992-0201 Ph: (845) 496-6029 | Barry Bachenheimer Social Worker Pllc 5 Fairlawn Dr Washingtonville NY 10992-1285 Ph: (845) 496-6029 |
| NPI Number | 1215265020 |
|---|---|
| Provider Enumeration Date | 12/07/2009 |
| Last Update Date | 12/07/2009 |
| Medicare PECOS PAC ID | 9335283928 |
|---|---|
| Medicare Enrollment ID | O20100220000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215265020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 027567-1 (New York) | Primary |
| Provider Name | Barry Bachenheimer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194765099 PECOS PAC ID: 1456495043 Enrollment ID: I20100220000048 |
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