| East Village Access | |
|
242 E 2nd St New York NY 10009-8127 | |
| (212) 780-9008 | |
| (212) 228-6361 |
| Full Name | East Village Access |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 242 E 2nd St, New York, New York |
| Authorized Official Name and Position | Steven Coe (CEO) |
| Authorized Official Contact | 2127801400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Village Access 242 E 2nd St New York NY 10009-8127 Ph: (212) 780-9008 | East Village Access 242 E 2nd St New York NY 10009-8127 Ph: (212) 780-9008 |
| NPI Number | 1295046225 |
|---|---|
| Provider Enumeration Date | 06/24/2010 |
| Last Update Date | 09/08/2011 |
| Medicare PECOS PAC ID | 4880876622 |
|---|---|
| Medicare Enrollment ID | O20110901000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295046225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Aviva D Gorig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043432727 PECOS PAC ID: 9436243037 Enrollment ID: I20070913000102 |
| Provider Name | Kemi S Abdul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437318755 PECOS PAC ID: 1456743582 Enrollment ID: I20220121000750 |
| Provider Name | Edward L Farkas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154313955 PECOS PAC ID: 2365572799 Enrollment ID: I20220609000263 |
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