Seok Cheol Ahn, Md, Pllc | |
76 Greenvale Cir White Plains NY 10607-1602 | |
(917) 863-3224 | |
(914) 761-0573 |
Full Name | Seok Cheol Ahn, Md, Pllc |
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Speciality | Psychiatry & Neurology |
Location | 76 Greenvale Cir, White Plains, New York |
Authorized Official Name and Position | Seok Ahn (OWNER) |
Authorized Official Contact | 9178633224 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Seok Cheol Ahn, Md, Pllc 76 Greenvale Cir White Plains NY 10607-1602 Ph: (917) 863-3224 | Seok Cheol Ahn, Md, Pllc 76 Greenvale Cir White Plains NY 10607-1602 Ph: (917) 863-3224 |
NPI Number | 1952747040 |
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Provider Enumeration Date | 05/15/2013 |
Last Update Date | 05/15/2013 |
Medicare PECOS PAC ID | 9931343621 |
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Medicare Enrollment ID | O20130919000235 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952747040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 193758 (New York) | Primary |
Provider Name | Seok Ahn |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1235215021 PECOS PAC ID: 7214980754 Enrollment ID: I20050224000815 |
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