Nova Behavioral Health, Llc | |
703 S Elmer Ave Ste 107 Sayre PA 18840-2400 | |
(570) 203-1735 | |
(570) 888-2641 |
Full Name | Nova Behavioral Health, Llc |
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Speciality | Clinic/Center |
Location | 703 S Elmer Ave Ste 107, Sayre, Pennsylvania |
Authorized Official Name and Position | Nadya Gifeisman (THERAPIST) |
Authorized Official Contact | 1740262377 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nova Behavioral Health, Llc 221 Queen Esther Dr Sayre PA 18840-9698 Ph: (740) 262-3777 | Nova Behavioral Health, Llc 703 S Elmer Ave Ste 107 Sayre PA 18840-2400 Ph: (570) 203-1735 |
NPI Number | 1316529415 |
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Provider Enumeration Date | 04/27/2021 |
Last Update Date | 08/26/2021 |
Certification Date | 08/26/2021 |
Medicare PECOS PAC ID | 3274931928 |
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Medicare Enrollment ID | O20211011000101 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316529415 | NPI | - | NPPES |
Provider Name | Nadya Gifeisman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1104240704 PECOS PAC ID: 5395045348 Enrollment ID: I20211011000141 |
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