Janet C Waterhouse Cp Phd Llc | |
315 W 57th St Suite 305 New York NY 10019-3158 | |
(917) 239-7792 | |
Not Available |
Full Name | Janet C Waterhouse Cp Phd Llc |
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Speciality | Psychologist |
Location | 315 W 57th St, New York, New York |
Authorized Official Name and Position | Janet C Waterhouse (ORIGINAL MEMBER) |
Authorized Official Contact | 9172397792 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Janet C Waterhouse Cp Phd Llc 186 Riverside Dr New York NY 10024-1007 Ph: (917) 239-7792 | Janet C Waterhouse Cp Phd Llc 315 W 57th St Suite 305 New York NY 10019-3158 Ph: (917) 239-7792 |
NPI Number | 1487989984 |
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Provider Enumeration Date | 10/16/2009 |
Last Update Date | 10/16/2009 |
Medicare PECOS PAC ID | 0345388427 |
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Medicare Enrollment ID | O20091110000492 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487989984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 017956 (New York) | Primary |
Provider Name | Janet C Waterhouse |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1932253135 PECOS PAC ID: 2264570340 Enrollment ID: I20091110000480 |
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