| Mary Youssef, Md | |
|
61 N Maple Ave Ste 304 Ridgewood NJ 07450-3232 | |
| (201) 857-0988 | |
| Not Available |
| Full Name | Mary Youssef, Md |
|---|---|
| Speciality | Clinic/Center |
| Location | 61 N Maple Ave Ste 304, Ridgewood, New Jersey |
| Authorized Official Name and Position | Mary Youssef (PROVIDER) |
| Authorized Official Contact | 2018570988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Youssef, Md 61 N Maple Ave Ste 304 Ridgewood NJ 07450-3232 Ph: (201) 857-0988 | Mary Youssef, Md 61 N Maple Ave Ste 304 Ridgewood NJ 07450-3232 Ph: (201) 857-0988 |
| NPI Number | 1851098933 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 04/12/2023 |
| Certification Date | 04/12/2023 |
| Medicare PECOS PAC ID | 6406221910 |
|---|---|
| Medicare Enrollment ID | O20230417000094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851098933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mary Youssef |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316471329 PECOS PAC ID: 8224416920 Enrollment ID: I20220608003300 |
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