| Kristy A Nanartowicz Psy D, Llc | |
|
1166 Buccaneer Ln Manahawkin NJ 08050-4844 | |
| (732) 664-2298 | |
| Not Available |
| Full Name | Kristy A Nanartowicz Psy D, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1166 Buccaneer Ln, Manahawkin, New Jersey |
| Authorized Official Name and Position | Kristy A Nanartowicz (MANAGING MEMBER) |
| Authorized Official Contact | 7326642298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristy A Nanartowicz Psy D, Llc 1166 Buccaneer Ln Manahawkin NJ 08050-4844 Ph: () - | Kristy A Nanartowicz Psy D, Llc 1166 Buccaneer Ln Manahawkin NJ 08050-4844 Ph: (732) 664-2298 |
| NPI Number | 1386392066 |
|---|---|
| Provider Enumeration Date | 03/12/2022 |
| Last Update Date | 03/12/2022 |
| Certification Date | 03/12/2022 |
| Medicare PECOS PAC ID | 4688046493 |
|---|---|
| Medicare Enrollment ID | O20230203001717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386392066 | NPI | - | NPPES |
| 35SI00646500 | Other | NJ | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Kristy A Nanartowicz |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1083286546 PECOS PAC ID: 6204208010 Enrollment ID: I20230201000670 |
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