| Manhattan Psychological Associate, P.c. | |
|
200 W 57th St Ste 205 New York NY 10019-3211 | |
| (212) 307-9730 | |
| (646) 454-1479 |
| Full Name | Manhattan Psychological Associate, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 200 W 57th St Ste 205, New York, New York |
| Authorized Official Name and Position | Alan Hack (PRESIDENT) |
| Authorized Official Contact | 2123079730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manhattan Psychological Associate, P.c. 200 W 57th St Ste 205 New York NY 10019-3211 Ph: (212) 307-9730 | Manhattan Psychological Associate, P.c. 200 W 57th St Ste 205 New York NY 10019-3211 Ph: (212) 307-9730 |
| NPI Number | 1104959618 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 12/22/2022 |
| Certification Date | 12/22/2022 |
| Medicare PECOS PAC ID | 3375690613 |
|---|---|
| Medicare Enrollment ID | O20090402000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104959618 | NPI | - | NPPES |
| 118762 | Other | NY | VALUE BEHAVIORAL HEALTH |
| P568731 | Other | NY | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 010345 (New York) | Primary |
| Provider Name | Alan D Hack |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073543161 PECOS PAC ID: 9931256278 Enrollment ID: I20090402000445 |
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