Pederson-krag | |
77 Radcliffe Ave. Farmingdale NY 11735 | |
(516) 301-8283 | |
Not Available |
Full Name | Pederson-krag |
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Speciality | Psychiatric Unit |
Location | 77 Radcliffe Ave., Farmingdale, New York |
Authorized Official Name and Position | Jeremy Toner (SOCIAL WORKER) |
Authorized Official Contact | 5163018289 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pederson-krag 77 Radcliffe Ave Farmingdale NY 11735-5222 Ph: (516) 301-8283 | Pederson-krag 77 Radcliffe Ave. Farmingdale NY 11735 Ph: (516) 301-8283 |
NPI Number | 1104253772 |
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Provider Enumeration Date | 09/27/2013 |
Last Update Date | 09/27/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104253772 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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