| Senior Direct Ny | |
|
5 Gladwyne Ct Spring Valley NY 10977-1605 | |
| (914) 980-6015 | |
| (845) 362-3633 |
| Full Name | Senior Direct Ny |
|---|---|
| Speciality | Social Worker |
| Location | 5 Gladwyne Ct, Spring Valley, New York |
| Authorized Official Name and Position | Caren Stacey Redlich (CEO/OWNER) |
| Authorized Official Contact | 9149806015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Direct Ny 5 Gladwyne Ct Spring Valley NY 10977-1605 Ph: (914) 980-6015 | Senior Direct Ny 5 Gladwyne Ct Spring Valley NY 10977-1605 Ph: (914) 980-6015 |
| NPI Number | 1578054540 |
|---|---|
| Provider Enumeration Date | 05/24/2018 |
| Last Update Date | 05/24/2018 |
| Medicare PECOS PAC ID | 7911262639 |
|---|---|
| Medicare Enrollment ID | O20180530002825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578054540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Caren S Redlich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386926632 PECOS PAC ID: 0749438091 Enrollment ID: I20120912000344 |
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