| Headway New Jersey Behavioral Health Services Pc | |
|
114 5th Ave Fl 2 New York NY 10011-5611 | |
| (646) 453-6777 | |
| (833) 900-1747 |
| Full Name | Headway New Jersey Behavioral Health Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 114 5th Ave Fl 2, New York, New York |
| Authorized Official Name and Position | Inez Lee (OFFICE MANAGER) |
| Authorized Official Contact | 6037033222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Headway New Jersey Behavioral Health Services Pc 114 5th Ave Fl 2 New York NY 10011-5611 Ph: () - | Headway New Jersey Behavioral Health Services Pc 114 5th Ave Fl 2 New York NY 10011-5611 Ph: (646) 453-6777 |
| NPI Number | 1629660337 |
|---|---|
| Provider Enumeration Date | 02/04/2021 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Medicare PECOS PAC ID | 1850785197 |
|---|---|
| Medicare Enrollment ID | O20220302000718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629660337 | NPI | - | NPPES |
| Provider Name | Claire H Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366847493 PECOS PAC ID: 9830435080 Enrollment ID: I20190109002839 |
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