| Brighton Psychological Assessment, Pllc | |
|
2290 East Ave Ste 9 Rochester NY 14610-2567 | |
| (585) 727-1943 | |
| Not Available |
| Full Name | Brighton Psychological Assessment, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2290 East Ave Ste 9, Rochester, New York |
| Authorized Official Name and Position | Dale Kulick (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5857271943 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brighton Psychological Assessment, Pllc 2290 East Ave Ste 9 Rochester NY 14610-2567 Ph: (585) 727-1943 | Brighton Psychological Assessment, Pllc 2290 East Ave Ste 9 Rochester NY 14610-2567 Ph: (585) 727-1943 |
| NPI Number | 1932939899 |
|---|---|
| Provider Enumeration Date | 08/06/2024 |
| Last Update Date | 08/06/2024 |
| Certification Date | 08/06/2024 |
| Medicare PECOS PAC ID | 8729527320 |
|---|---|
| Medicare Enrollment ID | O20240827003713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932939899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dale I Kulick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750831442 PECOS PAC ID: 4789124462 Enrollment ID: I20240909002749 |
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