| Legadel | |
|
681 Chestnut Ridge Rd Monsey NY 10952 | |
| (973) 370-4000 | |
| Not Available |
| Full Name | Legadel |
|---|---|
| Speciality | Clinic/center |
| Location | 681 Chestnut Ridge Rd, Monsey, New York |
| Authorized Official Name and Position | Magdy F Mahmoud (CREDENTIALING OFFICER) |
| Authorized Official Contact | 9733704000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legadel 681 Chestnut Ridge Rd Monsey NY 10952 Ph: (973) 370-4000 | Legadel 681 Chestnut Ridge Rd Monsey NY 10952 Ph: (973) 370-4000 |
| NPI Number | 1356047898 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 02/06/2023 |
| Certification Date | 01/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356047898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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