| S Jenny Klein Psyd Llc | |
|
353 Lexington Ave # 301 New York NY 10016-0941 | |
| (929) 392-0541 | |
| Not Available |
| Full Name | S Jenny Klein Psyd Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 353 Lexington Ave # 301, New York, New York |
| Authorized Official Name and Position | Siriporn Jenny Klein (PSYCHOLOGIST) |
| Authorized Official Contact | 9176017486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S Jenny Klein Psyd Llc 3091 Crescent St Apt 2a Astoria NY 11102-2726 Ph: (917) 601-7486 | S Jenny Klein Psyd Llc 353 Lexington Ave # 301 New York NY 10016-0941 Ph: (929) 392-0541 |
| NPI Number | 1427673888 |
|---|---|
| Provider Enumeration Date | 06/11/2020 |
| Last Update Date | 06/11/2020 |
| Certification Date | 06/11/2020 |
| Medicare PECOS PAC ID | 7416374343 |
|---|---|
| Medicare Enrollment ID | O20200824002703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427673888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Siriporn Jenny Klein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295291078 PECOS PAC ID: 8325465255 Enrollment ID: I20200826003006 |
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