Richmond Psychological Services, P.c. | |
308 Seaview Ave Staten Island NY 10305-2246 | |
(718) 987-3331 | |
(718) 987-6079 |
Full Name | Richmond Psychological Services, P.c. |
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Speciality | Psychologist |
Location | 308 Seaview Ave, Staten Island, New York |
Authorized Official Name and Position | Stanley Sidney Schonbuch (DIRECTOR-PRESIDENT) |
Authorized Official Contact | 7189873331 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Richmond Psychological Services, P.c. 308 Seaview Ave Staten Island NY 10305-2246 Ph: (718) 987-3331 | Richmond Psychological Services, P.c. 308 Seaview Ave Staten Island NY 10305-2246 Ph: (718) 987-3331 |
NPI Number | 1497802144 |
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Provider Enumeration Date | 01/04/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 3577557362 |
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Medicare Enrollment ID | O20040629001543 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497802144 | NPI | - | NPPES |
00912294 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 3589 (New York) | Primary |
Provider Name | Stanley S Schonbuch |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1891773529 PECOS PAC ID: 4284628074 Enrollment ID: I20040413001929 |
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