Manhattan Psychological Pllc | |
1910 Pelham Pkwy S Suite 1b Bronx NY 10461-3726 | |
(718) 823-4864 | |
Not Available |
Full Name | Manhattan Psychological Pllc |
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Speciality | Psychologist |
Location | 1910 Pelham Pkwy S, Bronx, New York |
Authorized Official Name and Position | Adam Lynn (PSYCHOLOGIST) |
Authorized Official Contact | 2013852575 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Manhattan Psychological Pllc 1910 Pelham Pkwy S Suite 1b Bronx NY 10461-3726 Ph: (718) 823-4864 | Manhattan Psychological Pllc 1910 Pelham Pkwy S Suite 1b Bronx NY 10461-3726 Ph: (718) 823-4864 |
NPI Number | 1205142585 |
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Provider Enumeration Date | 08/25/2010 |
Last Update Date | 08/25/2010 |
Medicare PECOS PAC ID | 3173648151 |
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Medicare Enrollment ID | O20100914000923 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205142585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Adam M Lynn |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1154463263 PECOS PAC ID: 6901795160 Enrollment ID: I20040315000442 |
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