Kenwood Psychological Services | |
124 E 84th St Suite 1d New York NY 10028-0915 | |
(212) 744-2121 | |
Not Available |
Full Name | Kenwood Psychological Services |
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Speciality | Social Worker |
Location | 124 E 84th St, New York, New York |
Authorized Official Name and Position | David Melvin Kelley (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7183598215 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kenwood Psychological Services 4037 157th St Flushing NY 11354-5045 Ph: (718) 359-8215 | Kenwood Psychological Services 124 E 84th St Suite 1d New York NY 10028-0915 Ph: (212) 744-2121 |
NPI Number | 1114131893 |
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Provider Enumeration Date | 05/10/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114131893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
103T00000X | Psychologist | (* (Not Available)) | Primary |
104100000X | Social Worker | (* (Not Available)) | Primary |
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