New Pathways Cincinnati Llc | |
10547 Montgomery Rd Ste 400 Montgomery OH 45242-4418 | |
(513) 982-6077 | |
(513) 880-0671 |
Full Name | New Pathways Cincinnati Llc |
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Speciality | Psychiatry & Neurology |
Location | 10547 Montgomery Rd Ste 400, Montgomery, Ohio |
Authorized Official Name and Position | Lynn Nguyen (OWNER) |
Authorized Official Contact | 4054101585 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Pathways Cincinnati Llc 10547 Montgomery Rd Ste 400 Montgomery OH 45242-4418 Ph: (513) 982-6077 | New Pathways Cincinnati Llc 10547 Montgomery Rd Ste 400 Montgomery OH 45242-4418 Ph: (513) 982-6077 |
NPI Number | 1457139537 |
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Provider Enumeration Date | 09/19/2023 |
Last Update Date | 09/19/2023 |
Certification Date | 09/19/2023 |
Medicare PECOS PAC ID | 1254786049 |
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Medicare Enrollment ID | O20231013003220 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457139537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Lynn Lien Nguyen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447932272 PECOS PAC ID: 2163877952 Enrollment ID: I20231013003226 |
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