Ferndale Psychological Services, Pc. | |
111 Sullivan Ave Suite 2-5 Ferndale NY 12734-4315 | |
(845) 292-6222 | |
(845) 292-6220 |
Full Name | Ferndale Psychological Services, Pc. |
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Speciality | Clinical Neuropsychologist |
Location | 111 Sullivan Ave, Ferndale, New York |
Authorized Official Name and Position | Michael E Schwartz (PRESIDENT) |
Authorized Official Contact | 8452926222 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ferndale Psychological Services, Pc. 111 Sullivan Ave Suite 2-5 Ferndale NY 12734-4315 Ph: (845) 292-6222 | Ferndale Psychological Services, Pc. 111 Sullivan Ave Suite 2-5 Ferndale NY 12734-4315 Ph: (845) 292-6222 |
NPI Number | 1225454259 |
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Provider Enumeration Date | 03/14/2014 |
Last Update Date | 03/14/2014 |
Medicare PECOS PAC ID | 4981919669 |
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Medicare Enrollment ID | O20150811004205 |
Identifier | Type | State | Issuer |
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1225454259 | NPI | - | NPPES |
Provider Name | Michael E Schwartz |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1134137631 PECOS PAC ID: 1557329414 Enrollment ID: I20041222000714 |
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 | |
Evergreen Meadow Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Sullivan Ave Ste 2-5, Ferndale, NY 12734 Phone: 833-346-4968 |