| Ian Rugg Psychology Pllc | |
|
545 73rd Street Ground Floor Brooklyn NY 11209 | |
| (929) 276-2593 | |
| (718) 238-1405 |
| Full Name | Ian Rugg Psychology Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 545 73rd Street, Brooklyn, New York |
| Authorized Official Name and Position | Ian Rugg (SOLE OWNER; LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9292762593 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Rugg Psychology Pllc 545 73rd Street Ground Floor Brooklyn NY 11209 Ph: (929) 276-2593 | Ian Rugg Psychology Pllc 545 73rd Street Ground Floor Brooklyn NY 11209 Ph: (929) 276-2593 |
| NPI Number | 1841781648 |
|---|---|
| Provider Enumeration Date | 05/29/2018 |
| Last Update Date | 02/18/2020 |
| Certification Date | 02/18/2020 |
| Medicare PECOS PAC ID | 0143575720 |
|---|---|
| Medicare Enrollment ID | O20180622001147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841781648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ian Rugg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912291931 PECOS PAC ID: 2466742770 Enrollment ID: I20160527000532 |
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