| Bronx Individual & Family Psychology Llc | |
|
22 E Kingsbridge Rd Bronx NY 10468-7596 | |
| (917) 801-1199 | |
| (917) 801-1198 |
| Full Name | Bronx Individual & Family Psychology Llc |
|---|---|
| Speciality | Psychologist |
| Location | 22 E Kingsbridge Rd, Bronx, New York |
| Authorized Official Name and Position | Maria Lydia Vayas (MANAGING MEMBER (PSYCHOLOGIST)) |
| Authorized Official Contact | 9178011199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bronx Individual & Family Psychology Llc 22 E Kingsbridge Rd Bronx NY 10468-7596 Ph: (917) 801-1199 | Bronx Individual & Family Psychology Llc 22 E Kingsbridge Rd Bronx NY 10468-7596 Ph: (917) 801-1199 |
| NPI Number | 1902235914 |
|---|---|
| Provider Enumeration Date | 11/11/2013 |
| Last Update Date | 11/11/2013 |
| Medicare PECOS PAC ID | 3375772833 |
|---|---|
| Medicare Enrollment ID | O20140203000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902235914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 102065 (New York) | Primary |
| Provider Name | Maria L Vayas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982034757 PECOS PAC ID: 4284863747 Enrollment ID: I20140203000221 |
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