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330 W 38th St Rm 705 New York NY 10018-2515 | |
| (631) 464-0332 | |
| (516) 736-8551 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 330 W 38th St Rm 705, New York, New York |
| Authorized Official Name and Position | Cassie Rojas (HR MANAGER) |
| Authorized Official Contact | 6314640332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
10 Hazel Pl Woodmere NY 11598-1108 Ph: (631) 464-0332 | 330 W 38th St Rm 705 New York NY 10018-2515 Ph: (631) 464-0332 |
| NPI Number | 1093245888 |
|---|---|
| Provider Enumeration Date | 06/14/2017 |
| Last Update Date | 04/27/2024 |
| Certification Date | 04/27/2024 |
| Medicare PECOS PAC ID | 9537431622 |
|---|---|
| Medicare Enrollment ID | O20170824001611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093245888 | NPI | - | NPPES |
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