| Pgcmh | |
|
1775 Grand Concourse 8th Fl Ny NY 10457 | |
| (212) 560-6700 | |
| Not Available |
| Full Name | Pgcmh |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1775 Grand Concourse 8th Fl, Ny, New York |
| Authorized Official Name and Position | Ronit Shemi (PROGRAM DIRECTOR) |
| Authorized Official Contact | 2125606700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pgcmh 1775 Grand Concourse 8th Fl Ny NY 10457 Ph: (212) 560-6700 | Pgcmh 1775 Grand Concourse 8th Fl Ny NY 10457 Ph: (212) 560-6700 |
| NPI Number | 1396215513 |
|---|---|
| Provider Enumeration Date | 11/30/2018 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396215513 | NPI | - | NPPES |
| 00244257 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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