Otpccet Llc | |
39 Hillside Ter Monroe NY 10950-2534 | |
(845) 637-2775 | |
(845) 637-2774 |
Full Name | Otpccet Llc |
---|---|
Speciality | Social Worker |
Location | 39 Hillside Ter, Monroe, New York |
Authorized Official Name and Position | Efrain Torres (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3474014712 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Otpccet Llc 39 Hillside Ter Monroe NY 10950-2534 Ph: (845) 637-2775 | Otpccet Llc 39 Hillside Ter Monroe NY 10950-2534 Ph: (845) 637-2775 |
NPI Number | 1437784337 |
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Provider Enumeration Date | 03/11/2020 |
Last Update Date | 03/11/2020 |
Certification Date | 03/11/2020 |
Medicare PECOS PAC ID | 1951710029 |
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Medicare Enrollment ID | O20210503001588 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437784337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Efrain Torres |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033520374 PECOS PAC ID: 5597096966 Enrollment ID: I20191016001701 |
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