| Psychological Potentials Pc | |
|
11 Grace Ave Ste 300 Great Neck NY 11021-2446 | |
| (516) 625-4446 | |
| (516) 625-4447 |
| Full Name | Psychological Potentials Pc |
|---|---|
| Speciality | Psychologist |
| Location | 11 Grace Ave, Great Neck, New York |
| Authorized Official Name and Position | Bernard L Sorscher (PRESIDENT) |
| Authorized Official Contact | 5166254446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Potentials Pc 11 Grace Ave Ste 300 Great Neck NY 11021-2446 Ph: (516) 625-4446 | Psychological Potentials Pc 11 Grace Ave Ste 300 Great Neck NY 11021-2446 Ph: (516) 625-4446 |
| NPI Number | 1114296753 |
|---|---|
| Provider Enumeration Date | 12/28/2011 |
| Last Update Date | 12/28/2011 |
| Medicare PECOS PAC ID | 4486812534 |
|---|---|
| Medicare Enrollment ID | O20120221001005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114296753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Dianne M Ollech |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669418158 PECOS PAC ID: 1951390335 Enrollment ID: I20040511000216 |
| Provider Name | Bernard L Sorscher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558383596 PECOS PAC ID: 9739076449 Enrollment ID: I20050112000054 |
| Provider Name | Marsha S Sherman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588671655 PECOS PAC ID: 8820014798 Enrollment ID: I20051020000039 |
| Provider Name | Lynne E Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306193487 PECOS PAC ID: 1658521364 Enrollment ID: I20121015000464 |
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