Emk Neurotherapeutics | |
224 Clarendon St Ste 22 Boston MA 02116-3795 | |
(617) 652-1027 | |
Not Available |
Full Name | Emk Neurotherapeutics |
---|---|
Speciality | Psychiatry & Neurology |
Location | 224 Clarendon St Ste 22, Boston, Massachusetts |
Authorized Official Name and Position | Ying Cao (MANAGER) |
Authorized Official Contact | 6179819332 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Emk Neurotherapeutics 224 Clarendon St Ste 22 Boston MA 02116-3795 Ph: (617) 981-9332 | Emk Neurotherapeutics 224 Clarendon St Ste 22 Boston MA 02116-3795 Ph: (617) 652-1027 |
NPI Number | 1578140430 |
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Provider Enumeration Date | 03/26/2021 |
Last Update Date | 10/27/2021 |
Certification Date | 10/27/2021 |
Medicare PECOS PAC ID | 2466840087 |
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Medicare Enrollment ID | O20211101000175 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578140430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Ying Cao |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1538327523 PECOS PAC ID: 8022321728 Enrollment ID: I20150724010126 |
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