| Dawn A Gonsalves Md Psychiatry Pllc | |
|
187 E Market St Suite # P-800 Rhinebeck NY 12572-1727 | |
| (646) 541-2449 | |
| (845) 340-7314 |
| Full Name | Dawn A Gonsalves Md Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 187 E Market St, Rhinebeck, New York |
| Authorized Official Name and Position | Dawn A Gonsalves (PRESIDENT/SOLE MEMBER) |
| Authorized Official Contact | 6465412449 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn A Gonsalves Md Psychiatry Pllc 187 E Market St Suite # P-800 Rhinebeck NY 12572-1727 Ph: (646) 541-2449 | Dawn A Gonsalves Md Psychiatry Pllc 187 E Market St Suite # P-800 Rhinebeck NY 12572-1727 Ph: (646) 541-2449 |
| NPI Number | 1962761049 |
|---|---|
| Provider Enumeration Date | 05/10/2012 |
| Last Update Date | 05/10/2012 |
| Medicare PECOS PAC ID | 0244495174 |
|---|---|
| Medicare Enrollment ID | O20120627000545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962761049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 243827 (New York) | Primary |
| Provider Name | Dawn Amanda Gonsalves |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659591493 PECOS PAC ID: 8921178542 Enrollment ID: I20080609000151 |
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