| Midtown Therapy Associates | |
|
26 Court St Ste 409 Brooklyn NY 11242-1134 | |
| (212) 405-2685 | |
| Not Available |
| Full Name | Midtown Therapy Associates |
|---|---|
| Speciality | Psychologist |
| Location | 26 Court St Ste 409, Brooklyn, New York |
| Authorized Official Name and Position | Amy D Wicker (OWNER) |
| Authorized Official Contact | 2124052685 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midtown Therapy Associates 26 Court St Ste 409 Brooklyn NY 11242-1134 Ph: (212) 405-2685 | Midtown Therapy Associates 26 Court St Ste 409 Brooklyn NY 11242-1134 Ph: (212) 405-2685 |
| NPI Number | 1255702221 |
|---|---|
| Provider Enumeration Date | 10/15/2015 |
| Last Update Date | 05/04/2023 |
| Certification Date | 05/02/2023 |
| Medicare PECOS PAC ID | 9830552892 |
|---|---|
| Medicare Enrollment ID | O20230824001478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255702221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Amy Wicker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346491768 PECOS PAC ID: 1850689050 Enrollment ID: I20230824001456 |
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