| Dr. David Pace | |
|
1563 Montauk Hwy Oakdale NY 11769-1322 | |
| (631) 563-3162 | |
| (631) 563-3185 |
| Full Name | Dr. David Pace |
|---|---|
| Speciality | Psychologist |
| Location | 1563 Montauk Hwy, Oakdale, New York |
| Authorized Official Name and Position | David Pace (PRESIDENT) |
| Authorized Official Contact | 6315633162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. David Pace 1563 Montauk Hwy Oakdale NY 11769-1322 Ph: (631) 563-3162 | Dr. David Pace 1563 Montauk Hwy Oakdale NY 11769-1322 Ph: (631) 563-3162 |
| NPI Number | 1730486226 |
|---|---|
| Provider Enumeration Date | 02/17/2011 |
| Last Update Date | 02/17/2011 |
| Medicare PECOS PAC ID | 8921286725 |
|---|---|
| Medicare Enrollment ID | O20110627000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730486226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 018160 (New York) | Primary |
| Provider Name | David Pace |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649413535 PECOS PAC ID: 4981759834 Enrollment ID: I20090828000625 |
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