| Newark Wayne Comm Hosp - Psych | |
|
1200 Driving Park Ave Newark NY 14513-1057 | |
| (315) 332-2022 | |
| Not Available |
| Full Name | Newark Wayne Comm Hosp - Psych |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1200 Driving Park Ave, Newark, New York |
| Authorized Official Name and Position | Paula Tinch (SVP-FINANCE) |
| Authorized Official Contact | 5859221223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newark Wayne Comm Hosp - Psych 1200 Driving Park Ave Newark NY 14513-1057 Ph: (315) 332-2022 | Newark Wayne Comm Hosp - Psych 1200 Driving Park Ave Newark NY 14513-1057 Ph: (315) 332-2022 |
| NPI Number | 1902989221 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 06/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902989221 | NPI | - | NPPES |
| 0120026XY | Other | NY | BLUECHOICE INPATIENT PSY |
| HO130P | Other | NY | PREFERREDCARE PSYCH |
| 000900002001 | Other | NY | HEALTHNOW PSYCH |
| 00354458 | Medicaid | NY | |
| 97 | Other | NY | BLUESHIELD OUTPT PSYCH |
| XY | Other | NY | BLUESHIELD INPATIENT PSY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 5820000H (New York) | Primary |
Connected Treasures. Lcsw, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 Murray St, Newark, NY 14513 Phone: 315-758-0587 Fax: 315-704-5712 |