| Jaime Inclan Pc | |
|
85 5th Ave Suite 901 New York NY 10003-3019 | |
| (212) 741-3448 | |
| Not Available |
| Full Name | Jaime Inclan Pc |
|---|---|
| Speciality | Psychologist |
| Location | 85 5th Ave, New York, New York |
| Authorized Official Name and Position | Shawn Ekwall (ASSISTANT TO DR. INCLAN) |
| Authorized Official Contact | 2123877433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaime Inclan Pc 540 E 13th St Attn: Shawn Ekwall New York NY 10009-3519 Ph: (212) 387-7400 | Jaime Inclan Pc 85 5th Ave Suite 901 New York NY 10003-3019 Ph: (212) 741-3448 |
| NPI Number | 1528292984 |
|---|---|
| Provider Enumeration Date | 05/13/2009 |
| Last Update Date | 05/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528292984 | NPI | - | NPPES |
| 006997-1 | Other | NY | NYC PSYCHOLOGY LISCENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 006997-1 (New York) | Primary |
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