Cognitive Consultants, Llc | |
1430 Clove Rd Staten Island NY 10301-4300 | |
(718) 667-1215 | |
Not Available |
Full Name | Cognitive Consultants, Llc |
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Speciality | Clinic/center - Adult Mental Health |
Location | 1430 Clove Rd, Staten Island, New York |
Authorized Official Name and Position | Yusuf N Modan (OWNER) |
Authorized Official Contact | 5162426948 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cognitive Consultants, Llc 3 Ascot Pl North Brunswick NJ 08902-1488 Ph: (516) 242-6948 | Cognitive Consultants, Llc 1430 Clove Rd Staten Island NY 10301-4300 Ph: (718) 667-1215 |
NPI Number | 1235530775 |
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Provider Enumeration Date | 09/15/2014 |
Last Update Date | 01/11/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235530775 | NPI | - | NPPES |
1235530775 | Other | NY | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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