Psychiatric Network, Pc | |
567 Fairmount Ave Jamestown NY 14701-2775 | |
(716) 664-5414 | |
(716) 664-4478 |
Full Name | Psychiatric Network, Pc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 567 Fairmount Ave, Jamestown, New York |
Authorized Official Name and Position | Bradford Frank (MD) |
Authorized Official Contact | 7166645414 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Psychiatric Network, Pc Po Box 41 Jamestown NY 14702-0041 Ph: (716) 487-1124 | Psychiatric Network, Pc 567 Fairmount Ave Jamestown NY 14701-2775 Ph: (716) 664-5414 |
NPI Number | 1639123862 |
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Provider Enumeration Date | 05/20/2006 |
Last Update Date | 12/17/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639123862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 191390 (New York) | Primary |
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