| Humphries Third, Llc | |
|
100 S Bedford Rd Ste 340 Mount Kisco NY 10549-3444 | |
| (914) 362-1083 | |
| Not Available |
| Full Name | Humphries Third, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 100 S Bedford Rd Ste 340, Mount Kisco, New York |
| Authorized Official Name and Position | Shoshana D Beran (OWNER) |
| Authorized Official Contact | 2022530408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Humphries Third, Llc 100 S Bedford Rd Ste 340 Mount Kisco NY 10549-3444 Ph: (914) 362-1083 | Humphries Third, Llc 100 S Bedford Rd Ste 340 Mount Kisco NY 10549-3444 Ph: (914) 362-1083 |
| NPI Number | 1407421712 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/21/2021 |
| Certification Date | 05/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407421712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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