Park Psychological Services, P.c. | |
108 E 91st St Apt 1b New York NY 10128-1659 | |
(646) 322-9787 | |
Not Available |
Full Name | Park Psychological Services, P.c. |
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Speciality | Psychologist |
Location | 108 E 91st St Apt 1b, New York, New York |
Authorized Official Name and Position | Jonathan Eger (CHIEF PSYCHOLOGIST) |
Authorized Official Contact | 6463229787 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Park Psychological Services, P.c. 108 E 91st St Apt 1b New York NY 10128-1659 Ph: (646) 322-9787 | Park Psychological Services, P.c. 108 E 91st St Apt 1b New York NY 10128-1659 Ph: (646) 322-9787 |
NPI Number | 1477132165 |
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Provider Enumeration Date | 04/07/2021 |
Last Update Date | 04/07/2021 |
Certification Date | 04/07/2021 |
Medicare PECOS PAC ID | 1254776248 |
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Medicare Enrollment ID | O20240229002014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477132165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Jonathan N Eger |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1265695738 PECOS PAC ID: 1951431568 Enrollment ID: I20100608000826 |
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