| Kimberly A. Frasca, Psy.d. Pc | |
|
3771 Nesconset Hwy Suite 208a South Setauket NY 11720-1163 | |
| (631) 905-1254 | |
| Not Available |
| Full Name | Kimberly A. Frasca, Psy.d. Pc |
|---|---|
| Speciality | Psychologist |
| Location | 3771 Nesconset Hwy, South Setauket, New York |
| Authorized Official Name and Position | Kimberly Ann Frasca (PRESIDENT) |
| Authorized Official Contact | 6319051254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly A. Frasca, Psy.d. Pc 3771 Nesconset Hwy Suite 208a South Setauket NY 11720-1163 Ph: (631) 905-1254 | Kimberly A. Frasca, Psy.d. Pc 3771 Nesconset Hwy Suite 208a South Setauket NY 11720-1163 Ph: (631) 905-1254 |
| NPI Number | 1851713556 |
|---|---|
| Provider Enumeration Date | 01/14/2014 |
| Last Update Date | 01/14/2014 |
| Medicare PECOS PAC ID | 3870716764 |
|---|---|
| Medicare Enrollment ID | O20140522000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851713556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 018606 (New York) | Primary |
| Provider Name | Kimberly A Frasca |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437349792 PECOS PAC ID: 1153517586 Enrollment ID: I20101124001103 |
Alexandra Gleason, Lmft, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Dave Ln, South Setauket, NY 11720 Phone: 516-993-6678 | |
Heawon Hake Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3771 Nesconset Hwy, Suite 208a, South Setauket, NY 11720 Phone: 631-751-1300 Fax: 631-751-1300 |