| Jessica R Cesare, Psychologist, Ph.d., P.c. | |
|
165 N Village Ave 9 Rockville Centre NY 11570-3761 | |
| (516) 244-8368 | |
| (516) 572-1426 |
| Full Name | Jessica R Cesare, Psychologist, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 165 N Village Ave, Rockville Centre, New York |
| Authorized Official Name and Position | Jessica Ryan Cesare (PSYCHOLOGIST) |
| Authorized Official Contact | 5162448368 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica R Cesare, Psychologist, Ph.d., P.c. 450 Shore Rd 2g Long Beach NY 11561-5326 Ph: (516) 244-8368 | Jessica R Cesare, Psychologist, Ph.d., P.c. 165 N Village Ave 9 Rockville Centre NY 11570-3761 Ph: (516) 244-8368 |
| NPI Number | 1932465556 |
|---|---|
| Provider Enumeration Date | 04/09/2012 |
| Last Update Date | 04/09/2012 |
| Medicare PECOS PAC ID | 7012178163 |
|---|---|
| Medicare Enrollment ID | O20120417000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932465556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 018952 (New York) | Primary |
| Provider Name | Jessica R Cesare |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720383995 PECOS PAC ID: 6103009048 Enrollment ID: I20110330000392 |
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