Begentle Psychotherapy, Np In Psychiatry Pllc | |
122 W Roe Blvd Patchogue NY 11772-2569 | |
(631) 834-6356 | |
Not Available |
Full Name | Begentle Psychotherapy, Np In Psychiatry Pllc |
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Speciality | Counselor |
Location | 122 W Roe Blvd, Patchogue, New York |
Authorized Official Name and Position | Pierrette M. Begent (SOLE MBR) |
Authorized Official Contact | 6318346356 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Begentle Psychotherapy, Np In Psychiatry Pllc 122 W Roe Blvd Patchogue NY 11772-2569 Ph: (631) 834-6356 | Begentle Psychotherapy, Np In Psychiatry Pllc 122 W Roe Blvd Patchogue NY 11772-2569 Ph: (631) 834-6356 |
NPI Number | 1740644244 |
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Provider Enumeration Date | 04/11/2016 |
Last Update Date | 05/02/2018 |
Medicare PECOS PAC ID | 8123308806 |
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Medicare Enrollment ID | O20161215001217 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740644244 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | F401855-1 (New York) | Primary |
Provider Name | Pierrette M Begent |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164804092 PECOS PAC ID: 4183926298 Enrollment ID: I20160106002510 |
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