| Professional Psychiatric Services P.c. | |
|
6722 Erie Rd Derby NY 14047-9670 | |
| (716) 947-2097 | |
| (716) 947-5909 |
| Full Name | Professional Psychiatric Services P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6722 Erie Rd, Derby, New York |
| Authorized Official Name and Position | Anthony Angelo Racaniello (PRESIDENT) |
| Authorized Official Contact | 7169472097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Psychiatric Services P.c. 6722 Erie Rd Po Box 803 Derby NY 14047-9670 Ph: (716) 947-2097 | Professional Psychiatric Services P.c. 6722 Erie Rd Derby NY 14047-9670 Ph: (716) 947-2097 |
| NPI Number | 1417902065 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 10/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417902065 | NPI | - | NPPES |
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