| Sh Medical Care Of Kansas Pa | |
|
60 Madison Ave Fl 2 New York NY 10010-1600 | |
| (855) 701-1720 | |
| Not Available |
| Full Name | Sh Medical Care Of Kansas Pa |
|---|---|
| Speciality | Psychologist |
| Location | 60 Madison Ave Fl 2, New York, New York |
| Authorized Official Name and Position | Timothy Howard (PRESIDENT) |
| Authorized Official Contact | 2566030985 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sh Medical Care Of Kansas Pa 60 Madison Ave Fl 2 New York NY 10010-1600 Ph: (855) 701-1720 | Sh Medical Care Of Kansas Pa 60 Madison Ave Fl 2 New York NY 10010-1600 Ph: (855) 701-1720 |
| NPI Number | 1992352983 |
|---|---|
| Provider Enumeration Date | 08/23/2019 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Medicare PECOS PAC ID | 1759738438 |
|---|---|
| Medicare Enrollment ID | O20231117001330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992352983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Timothy Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619964343 PECOS PAC ID: 4880853399 Enrollment ID: I20231117001505 |
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