| Psychiatric Np Services Of Cny Pllc | |
|
188 Genesee St Ste 115 Auburn NY 13021-3321 | |
| (678) 428-3647 | |
| Not Available |
| Full Name | Psychiatric Np Services Of Cny Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 188 Genesee St Ste 115, Auburn, New York |
| Authorized Official Name and Position | Billy Manuel (NURSE PRACTITIONER) |
| Authorized Official Contact | 6784283647 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Np Services Of Cny Pllc 188 Genesee St Ste 115 Auburn NY 13021-3321 Ph: (678) 428-3647 | Psychiatric Np Services Of Cny Pllc 188 Genesee St Ste 115 Auburn NY 13021-3321 Ph: (678) 428-3647 |
| NPI Number | 1730941501 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Medicare PECOS PAC ID | 1153760764 |
|---|---|
| Medicare Enrollment ID | O20240416001447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730941501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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