| Irl L Extein Md Pa | |
|
16244 Military Trl 325 Delray Beach FL 33484-6534 | |
| (561) 499-6716 | |
| Not Available |
| Full Name | Irl L Extein Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 16244 Military Trl, Delray Beach, Florida |
| Authorized Official Name and Position | Irl L Extein (PRESIDENT) |
| Authorized Official Contact | 5614996716 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Irl L Extein Md Pa 16244 Military Trl 325 Delray Beach FL 33484-6534 Ph: (561) 499-6716 | Irl L Extein Md Pa 16244 Military Trl 325 Delray Beach FL 33484-6534 Ph: (561) 499-6716 |
| NPI Number | 1144350273 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3678697703 |
|---|---|
| Medicare Enrollment ID | O20100826000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144350273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Irl Lawrence Extein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801962675 PECOS PAC ID: 9638295587 Enrollment ID: I20110107000474 |
| Provider Name | Nancy J Drevich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760511851 PECOS PAC ID: 8325215973 Enrollment ID: I20120123000166 |
| Provider Name | Kenneth M Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952431603 PECOS PAC ID: 8123286291 Enrollment ID: I20120221000178 |
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