| Neuropsychological Services Of Astoria Pllc | |
|
3027 30th St Fl 1 Astoria NY 11102-2261 | |
| (718) 721-0330 | |
| (718) 721-0355 |
| Full Name | Neuropsychological Services Of Astoria Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3027 30th St Fl 1, Astoria, New York |
| Authorized Official Name and Position | Ernesto Hernandez (DIRECTOR/OWNER) |
| Authorized Official Contact | 7167210330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychological Services Of Astoria Pllc 3027 30th St Fl 1 Astoria NY 11102-2261 Ph: (718) 721-0330 | Neuropsychological Services Of Astoria Pllc 3027 30th St Fl 1 Astoria NY 11102-2261 Ph: (718) 721-0330 |
| NPI Number | 1730650284 |
|---|---|
| Provider Enumeration Date | 12/10/2018 |
| Last Update Date | 12/10/2018 |
| Medicare PECOS PAC ID | 9830430040 |
|---|---|
| Medicare Enrollment ID | O20190416000690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730650284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ernesto Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760829592 PECOS PAC ID: 9436428174 Enrollment ID: I20170712000033 |
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