| Integrated Family Health Np & Psychology Pllc | |
|
1072 Grand Concrs Bronx NY 10456-3901 | |
| (718) 362-1411 | |
| (718) 362-1651 |
| Full Name | Integrated Family Health Np & Psychology Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1072 Grand Concrs, Bronx, New York |
| Authorized Official Name and Position | Esther Lebovic (OWNER) |
| Authorized Official Contact | 7183621411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Family Health Np & Psychology Pllc 612 Corporate Way Ste 2m Valley Cottage NY 10989-2027 Ph: (718) 362-1411 | Integrated Family Health Np & Psychology Pllc 1072 Grand Concrs Bronx NY 10456-3901 Ph: (718) 362-1411 |
| NPI Number | 1093336703 |
|---|---|
| Provider Enumeration Date | 05/04/2020 |
| Last Update Date | 05/04/2020 |
| Certification Date | 05/04/2020 |
| Medicare PECOS PAC ID | 7315369659 |
|---|---|
| Medicare Enrollment ID | O20200615003291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093336703 | NPI | - | NPPES |
| Provider Name | Elisamuel Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033173745 PECOS PAC ID: 4486720166 Enrollment ID: I20210108002352 |
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