| Consumer Psychological Services Pc | |
|
55 Old Nyack Tpke Suite 601 Nanuet NY 10954-2461 | |
| (914) 714-5023 | |
| (845) 634-0806 |
| Full Name | Consumer Psychological Services Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 55 Old Nyack Tpke, Nanuet, New York |
| Authorized Official Name and Position | Larry S. Borakove (PRESIDENT) |
| Authorized Official Contact | 9147145023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Consumer Psychological Services Pc 75 Zukor Rd New City NY 10956-5507 Ph: (914) 714-5023 | Consumer Psychological Services Pc 55 Old Nyack Tpke Suite 601 Nanuet NY 10954-2461 Ph: (914) 714-5023 |
| NPI Number | 1194025445 |
|---|---|
| Provider Enumeration Date | 11/02/2010 |
| Last Update Date | 11/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194025445 | NPI | - | NPPES |
| 02192671 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 011044 (New York) | Primary |
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