| New Fronteras Licensed Clinical Social Work Services, Pllc | |
|
15 Lawrence St Nyack NY 10960-2924 | |
| (845) 219-1638 | |
| Not Available |
| Full Name | New Fronteras Licensed Clinical Social Work Services, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 15 Lawrence St, Nyack, New York |
| Authorized Official Name and Position | Clara I Rodriguez (MANAGER) |
| Authorized Official Contact | 8452191638 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Fronteras Licensed Clinical Social Work Services, Pllc Po Box 322 Nanuet NY 10954-0322 Ph: (845) 219-1638 | New Fronteras Licensed Clinical Social Work Services, Pllc 15 Lawrence St Nyack NY 10960-2924 Ph: (845) 219-1638 |
| NPI Number | 1811395833 |
|---|---|
| Provider Enumeration Date | 12/08/2014 |
| Last Update Date | 12/08/2014 |
| Medicare PECOS PAC ID | 2668722620 |
|---|---|
| Medicare Enrollment ID | O20180912002331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811395833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 076772 (New York) | Primary |
| Provider Name | Clara I Rodrigues |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467614453 PECOS PAC ID: 3678826773 Enrollment ID: I20181018002303 |
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