| Fulton Family Psychiatry Pc | |
|
451 S 4th St Fulton NY 13069-2916 | |
| (315) 887-1059 | |
| Not Available |
| Full Name | Fulton Family Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 451 S 4th St, Fulton, New York |
| Authorized Official Name and Position | Cecile Matip (MD) |
| Authorized Official Contact | 3158871059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fulton Family Psychiatry Pc Po Box 380 Monsey NY 10952-0380 Ph: (718) 534-0689 | Fulton Family Psychiatry Pc 451 S 4th St Fulton NY 13069-2916 Ph: (315) 887-1059 |
| NPI Number | 1912563867 |
|---|---|
| Provider Enumeration Date | 05/16/2019 |
| Last Update Date | 05/16/2019 |
| Medicare PECOS PAC ID | 0547594483 |
|---|---|
| Medicare Enrollment ID | O20190626001134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912563867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Cecile Matip |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811162787 PECOS PAC ID: 5294867412 Enrollment ID: I20110728000505 |
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