| J. M. Aquino Psychologist Pllc | |
|
10 Rye Ridge Plz Suite 214 Rye Brook NY 10573-2828 | |
| (914) 253-9429 | |
| (914) 777-3852 |
| Full Name | J. M. Aquino Psychologist Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 10 Rye Ridge Plz, Rye Brook, New York |
| Authorized Official Name and Position | Joseph Mario Aquino (PSYCHOLOGIST) |
| Authorized Official Contact | 9142530429 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J. M. Aquino Psychologist Pllc 10 Rye Ridge Plz Suite 214 Rye Brook NY 10573-2828 Ph: (914) 253-9429 | J. M. Aquino Psychologist Pllc 10 Rye Ridge Plz Suite 214 Rye Brook NY 10573-2828 Ph: (914) 253-9429 |
| NPI Number | 1851766000 |
|---|---|
| Provider Enumeration Date | 12/13/2015 |
| Last Update Date | 12/13/2015 |
| Medicare PECOS PAC ID | 9032497946 |
|---|---|
| Medicare Enrollment ID | O20161027002005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851766000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 009291 (New York) | Primary |
| Provider Name | Joseph M Aquino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457429284 PECOS PAC ID: 6901986132 Enrollment ID: I20071231000150 |
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