| R.p.p. On-site Psychology, Pllc | |
|
1221 Jerome Ave Bronx NY 10452-3301 | |
| (917) 796-6606 | |
| Not Available |
| Full Name | R.p.p. On-site Psychology, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1221 Jerome Ave, Bronx, New York |
| Authorized Official Name and Position | Stacey Cohen-meissner (OWNER) |
| Authorized Official Contact | 9177966606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R.p.p. On-site Psychology, Pllc Po Box 4071 Middletown NJ 07748-4071 Ph: (732) 576-1500 | R.p.p. On-site Psychology, Pllc 1221 Jerome Ave Bronx NY 10452-3301 Ph: (917) 796-6606 |
| NPI Number | 1730482316 |
|---|---|
| Provider Enumeration Date | 12/21/2010 |
| Last Update Date | 12/21/2010 |
| Medicare PECOS PAC ID | 9537342514 |
|---|---|
| Medicare Enrollment ID | O20110329000635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730482316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 012780 (New York) | Primary |
| Provider Name | Stacey B Cohen-meissner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376754846 PECOS PAC ID: 9032012000 Enrollment ID: I20040522000239 |
| Provider Name | Matthew Pordes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720229909 PECOS PAC ID: 3577716323 Enrollment ID: I20130104000107 |
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