| New York Psychological Wellness, Pc | |
|
4640 Springfield Blvd Bayside NY 11361-3517 | |
| (718) 225-5505 | |
| Not Available |
| Full Name | New York Psychological Wellness, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 4640 Springfield Blvd, Bayside, New York |
| Authorized Official Name and Position | Robert S. Meyers (DIRECTOR) |
| Authorized Official Contact | 7182255505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New York Psychological Wellness, Pc 4640 Springfield Blvd Bayside NY 11361-3517 Ph: (718) 225-5505 | New York Psychological Wellness, Pc 4640 Springfield Blvd Bayside NY 11361-3517 Ph: (718) 225-5505 |
| NPI Number | 1477965978 |
|---|---|
| Provider Enumeration Date | 06/02/2014 |
| Last Update Date | 06/02/2014 |
| Medicare PECOS PAC ID | 2567689136 |
|---|---|
| Medicare Enrollment ID | O20140806001013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477965978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 018595 (New York) | Primary |
| Provider Name | Robert S. Meyers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295067304 PECOS PAC ID: 3476770041 Enrollment ID: I20141024000336 |
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