| Defining Moments, Llc | |
|
125 Wickham Ave Middletown NY 10940-3759 | |
| (845) 343-2499 | |
| Not Available |
| Full Name | Defining Moments, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 125 Wickham Ave, Middletown, New York |
| Authorized Official Name and Position | Giulia Preziuso (FOUNDER) |
| Authorized Official Contact | 2016181400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Defining Moments, Llc 125 Wickham Ave Middletown NY 10940-3759 Ph: (845) 343-2499 | Defining Moments, Llc 125 Wickham Ave Middletown NY 10940-3759 Ph: (845) 343-2499 |
| NPI Number | 1912458548 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 10/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912458548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 18007521 (New York) | Primary |
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M Lavian Md Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 129 Wickham Ave, Middletown, NY 10940 Phone: 845-341-1805 Fax: 845-342-9218 | |
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