Cognitive Medicine Pc | |
138 W 25th St Fl 10 New York NY 10001-7470 | |
(212) 335-2100 | |
Not Available |
Full Name | Cognitive Medicine Pc |
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Speciality | Psychiatry & Neurology |
Location | 138 W 25th St Fl 10, New York, New York |
Authorized Official Name and Position | Michael Dulchin (PRESIDENT) |
Authorized Official Contact | 9178466708 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cognitive Medicine Pc 138 W 25th St Fl 10 New York NY 10001-7470 Ph: (212) 335-2100 | Cognitive Medicine Pc 138 W 25th St Fl 10 New York NY 10001-7470 Ph: (212) 335-2100 |
NPI Number | 1356963979 |
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Provider Enumeration Date | 05/18/2020 |
Last Update Date | 05/18/2020 |
Certification Date | 05/18/2020 |
Medicare PECOS PAC ID | 8729493077 |
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Medicare Enrollment ID | O20210218000520 |
Identifier | Type | State | Issuer |
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1356963979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Martin Goldstein |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1598736654 PECOS PAC ID: 3375534837 Enrollment ID: I20040521001312 |
Provider Name | Amanda Elizabeth Hahn-ketter |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1699291401 PECOS PAC ID: 2961763222 Enrollment ID: I20180228003129 |
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