| Khp Medical Pc | |
|
111 5th Ave New York NY 10003-1005 | |
| (607) 289-3684 | |
| Not Available |
| Full Name | Khp Medical Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 111 5th Ave, New York, New York |
| Authorized Official Name and Position | Jnee Hill (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6072893684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khp Medical Pc 111 5th Ave New York NY 10003-1005 Ph: () - | Khp Medical Pc 111 5th Ave New York NY 10003-1005 Ph: (607) 289-3684 |
| NPI Number | 1083350771 |
|---|---|
| Provider Enumeration Date | 05/06/2022 |
| Last Update Date | 05/06/2022 |
| Certification Date | 05/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083350771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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