| New York Medical Behavioral Health, Pc | |
|
890 Westfall Rd Suite B Rochester NY 14618-2610 | |
| (585) 442-6960 | |
| (585) 442-3589 |
| Full Name | New York Medical Behavioral Health, Pc |
|---|---|
| Speciality | Counselor |
| Location | 890 Westfall Rd, Rochester, New York |
| Authorized Official Name and Position | Mahipal S. Chaudhri (PRESIDENT) |
| Authorized Official Contact | 5854426960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New York Medical Behavioral Health, Pc 890 Westfall Rd Suite B Rochester NY 14618-2610 Ph: (585) 442-6960 | New York Medical Behavioral Health, Pc 890 Westfall Rd Suite B Rochester NY 14618-2610 Ph: (585) 442-6960 |
| NPI Number | 1255533600 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 05/15/2008 |
| Medicare PECOS PAC ID | 6406941079 |
|---|---|
| Medicare Enrollment ID | O20070927000907 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255533600 | NPI | - | NPPES |
| AA0080 | Other | NY | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 196375 (New York) | Primary |
| Provider Name | Mahipal S Chaudhri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982799490 PECOS PAC ID: 7113012782 Enrollment ID: I20120214000344 |
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