| Evergreen Meadow Services Inc | |
|
111 Sullivan Ave Ste 2-5 Ferndale NY 12734-4317 | |
| (833) 346-4968 | |
| Not Available |
| Full Name | Evergreen Meadow Services Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 111 Sullivan Ave Ste 2-5, Ferndale, New York |
| Authorized Official Name and Position | Adrienne Jensen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8333464968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Meadow Services Inc Po Box 64 Cochecton NY 12726-0064 Ph: (833) 346-4968 | Evergreen Meadow Services Inc 111 Sullivan Ave Ste 2-5 Ferndale NY 12734-4317 Ph: (833) 346-4968 |
| NPI Number | 1760240493 |
|---|---|
| Provider Enumeration Date | 03/07/2024 |
| Last Update Date | 03/07/2024 |
| Certification Date | 03/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760240493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Prem Prakash Gupta M.d P.c Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 39 Old Monticello Rd, Ferndale, NY 12734 Phone: 845-292-4560 Fax: 845-292-4561 | |
Ferndale Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Sullivan Ave, Suite 2-5, Ferndale, NY 12734 Phone: 845-292-6222 Fax: 845-292-6220 | |
Ferndale Psychological Services, Pc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 111 Sullivan Ave, Suite 2-5, Ferndale, NY 12734 Phone: 845-292-6222 Fax: 845-292-6220 |