| Phyllis S Zilkha Phd Psychologist Pc | |
|
301 E 79th St 23a New York NY 10075-0951 | |
| (212) 988-7170 | |
| Not Available |
| Full Name | Phyllis S Zilkha Phd Psychologist Pc |
|---|---|
| Speciality | Psychologist |
| Location | 301 E 79th St, New York, New York |
| Authorized Official Name and Position | Phyllis S Zilkha (PRESIDENT) |
| Authorized Official Contact | 2129887170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phyllis S Zilkha Phd Psychologist Pc 301 E 79th St 23a New York NY 10075-0951 Ph: (212) 988-7170 | Phyllis S Zilkha Phd Psychologist Pc 301 E 79th St 23a New York NY 10075-0951 Ph: (212) 988-7170 |
| NPI Number | 1750437968 |
|---|---|
| Provider Enumeration Date | 01/28/2007 |
| Last Update Date | 03/19/2014 |
| Medicare PECOS PAC ID | 8729125489 |
|---|---|
| Medicare Enrollment ID | O20091028000775 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750437968 | NPI | - | NPPES |
| 03156618/1750437968 | Medicaid | NY | |
| P368383 | Other | NY | OXFORD HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 011742 (New York) | Primary |
| Provider Name | Phyllis S Zilkha |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164619854 PECOS PAC ID: 6002953940 Enrollment ID: I20091026000106 |
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