New Hartford Psychiatric Services Pllc | |
327 Oriskany Blvd Whitesboro NY 13492-1422 | |
(315) 768-7181 | |
(315) 768-7182 |
Full Name | New Hartford Psychiatric Services Pllc |
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Speciality | Clinical Neuropsychologist |
Location | 327 Oriskany Blvd, Whitesboro, New York |
Authorized Official Name and Position | Marcellus R Cephas (OWNER) |
Authorized Official Contact | 3157687181 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Hartford Psychiatric Services Pllc 327 Oriskany Blvd Whitesboro NY 13492-1422 Ph: (315) 768-7181 | New Hartford Psychiatric Services Pllc 327 Oriskany Blvd Whitesboro NY 13492-1422 Ph: (315) 768-7181 |
NPI Number | 1619004355 |
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Provider Enumeration Date | 02/28/2007 |
Last Update Date | 05/20/2008 |
Medicare PECOS PAC ID | 4981590304 |
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Medicare Enrollment ID | O20040224000331 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619004355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | 207888 (New York) | Primary |
Provider Name | Ellen Karwacki |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083604938 PECOS PAC ID: 4284628249 Enrollment ID: I20040413000119 |
Provider Name | Marcellus Cephas |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1134116007 PECOS PAC ID: 8527954957 Enrollment ID: I20050112000695 |
Provider Name | Donna B Sergio |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598967184 PECOS PAC ID: 9931383486 Enrollment ID: I20110407000936 |
Provider Name | Alexander J Eller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740592344 PECOS PAC ID: 6406019793 Enrollment ID: I20120524000187 |
Provider Name | Robert D Sharpe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467733550 PECOS PAC ID: 4981861184 Enrollment ID: I20120627000003 |
Provider Name | Olivia R Honeck |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215389796 PECOS PAC ID: 2062700859 Enrollment ID: I20161011001685 |
Provider Name | Laneasha Marie Eudell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811407745 PECOS PAC ID: 9739449455 Enrollment ID: I20180127000067 |
Provider Name | Jonathan R Mizgala |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164968434 PECOS PAC ID: 9739459587 Enrollment ID: I20180919001139 |
Provider Name | Jennifer Ferri |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558897553 PECOS PAC ID: 7618218967 Enrollment ID: I20190415000580 |
Provider Name | Angel S Stanley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821470725 PECOS PAC ID: 0840628038 Enrollment ID: I20200323001035 |
Provider Name | Jecinter L Otieno |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619578366 PECOS PAC ID: 5193138469 Enrollment ID: I20210105001767 |
Provider Name | Mia H Townsend |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558677963 PECOS PAC ID: 4183012628 Enrollment ID: I20211102001924 |
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