| Stephanie Fagin-jones Phd Clinical Psychologist Pc | |
|
210 W 70th St 201 New York NY 10023-4304 | |
| (917) 225-2497 | |
| Not Available |
| Full Name | Stephanie Fagin-jones Phd Clinical Psychologist Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 210 W 70th St, New York, New York |
| Authorized Official Name and Position | Stephanie Jones (OWNER) |
| Authorized Official Contact | 9172252497 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Fagin-jones Phd Clinical Psychologist Pc 210 W 70th St 201 New York NY 10023-4304 Ph: () - | Stephanie Fagin-jones Phd Clinical Psychologist Pc 210 W 70th St 201 New York NY 10023-4304 Ph: (917) 225-2497 |
| NPI Number | 1891034617 |
|---|---|
| Provider Enumeration Date | 02/14/2013 |
| Last Update Date | 02/14/2013 |
| Medicare PECOS PAC ID | 5890010912 |
|---|---|
| Medicare Enrollment ID | O20150213000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891034617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 016180 (New York) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 016180 (New York) | Secondary |
| Provider Name | Stephanie Fagin-jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851315451 PECOS PAC ID: 5597795708 Enrollment ID: I20050817000729 |
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