Danielle Ross Np In Psychiatry, Pllc | |
567 Fairmount Ave Jamestown NY 14701-2775 | |
(716) 397-9086 | |
Not Available |
Full Name | Danielle Ross Np In Psychiatry, Pllc |
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Speciality | Clinic/Center |
Location | 567 Fairmount Ave, Jamestown, New York |
Authorized Official Name and Position | Danielle Sara Ross (OWNER) |
Authorized Official Contact | 7163979086 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Danielle Ross Np In Psychiatry, Pllc 567 Fairmount Ave Jamestown NY 14701-2775 Ph: (716) 397-9086 | Danielle Ross Np In Psychiatry, Pllc 567 Fairmount Ave Jamestown NY 14701-2775 Ph: (716) 397-9086 |
NPI Number | 1851970008 |
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Provider Enumeration Date | 04/05/2021 |
Last Update Date | 04/05/2021 |
Certification Date | 04/05/2021 |
Medicare PECOS PAC ID | 7618368135 |
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Medicare Enrollment ID | O20211216002684 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851970008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Danielle Ross |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902223381 PECOS PAC ID: 1456571108 Enrollment ID: I20141001002429 |
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