| Cortlandt Consultation For Psychological Services, Pc | |
|
2117 Crompond Road Ste 23 Cortlandt Manor NY 10567-4316 | |
| (914) 727-0013 | |
| (914) 727-0013 |
| Full Name | Cortlandt Consultation For Psychological Services, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 2117 Crompond Road, Cortlandt Manor, New York |
| Authorized Official Name and Position | Glenn I Bronley (DIRECTOR) |
| Authorized Official Contact | 9147370013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cortlandt Consultation For Psychological Services, Pc 2117 Crompond Road Ste 23 Cortlandt Manor NY 10567-4316 Ph: (914) 727-0013 | Cortlandt Consultation For Psychological Services, Pc 2117 Crompond Road Ste 23 Cortlandt Manor NY 10567-4316 Ph: (914) 727-0013 |
| NPI Number | 1386743144 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 10/22/2012 |
| Medicare PECOS PAC ID | 5092964122 |
|---|---|
| Medicare Enrollment ID | O20121005000310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386743144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 006895 (New York) | Primary |
| Provider Name | Glenn I Bronley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174621148 PECOS PAC ID: 6204096290 Enrollment ID: I20121025000040 |
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