| Macoris Selfcare Center, Llc | |
|
52 New Main St Haverstraw NY 10927-1895 | |
| (240) 502-0243 | |
| Not Available |
| Full Name | Macoris Selfcare Center, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 52 New Main St, Haverstraw, New York |
| Authorized Official Name and Position | Maria Reynoso-calderon (OWNER) |
| Authorized Official Contact | 2405020243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Macoris Selfcare Center, Llc 52 New Main St Haverstraw NY 10927-1895 Ph: (240) 502-0243 | Macoris Selfcare Center, Llc 52 New Main St Haverstraw NY 10927-1895 Ph: (240) 502-0243 |
| NPI Number | 1295559748 |
|---|---|
| Provider Enumeration Date | 11/12/2024 |
| Last Update Date | 11/12/2024 |
| Certification Date | 11/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295559748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Raelene Ladaga Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 New Main St, Haverstraw, NY 10927 Phone: 914-275-5462 Fax: 845-358-3640 |