| Nanticoke Medical Center Llc | |
|
128 W Washington St Nanticoke PA 18634-3113 | |
| (718) 534-7888 | |
| (718) 874-0088 |
| Full Name | Nanticoke Medical Center Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 128 W Washington St, Nanticoke, Pennsylvania |
| Authorized Official Name and Position | Shahid Rasul (CEO) |
| Authorized Official Contact | 9177741787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nanticoke Medical Center Llc Po Box 3945 New Hyde Park NY 11040-8945 Ph: (917) 774-1787 | Nanticoke Medical Center Llc 128 W Washington St Nanticoke PA 18634-3113 Ph: (718) 534-7888 |
| NPI Number | 1780219840 |
|---|---|
| Provider Enumeration Date | 03/10/2020 |
| Last Update Date | 03/10/2020 |
| Certification Date | 03/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780219840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Northeast Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W Washington St, Nanticoke, PA 18634 Phone: 570-735-7590 | |
Northeast Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 S Prospect St, Nanticoke, PA 18634 Phone: 570-735-7590 | |
Tae I Shynn Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 S Prospect St, Nanticoke, PA 18634 Phone: 570-735-7590 Fax: 570-735-0186 | |
Northeast Counseling Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 W Green St, Nanticoke, PA 18634 Phone: 570-735-7590 | |
Northeast Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 S Prospect St, Nanticoke, PA 18634 Phone: 570-735-7590 | |
Northeast Community Crisis Unit Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 N. Washington Street, Nanticoke, PA 18634 Phone: 570-735-8195 | |
Northeast Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W Washington St, Nanticoke, PA 18634 Phone: 570-735-7590 |