| The Beacon Program | |
|
12 E 44th St Fl 4 New York NY 10017-3624 | |
| (646) 559-9019 | |
| Not Available |
| Full Name | The Beacon Program |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12 E 44th St Fl 4, New York, New York |
| Authorized Official Name and Position | Pamela Gold (PRESIDENT) |
| Authorized Official Contact | 6465599019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Beacon Program 12 E 44th St Fl 4 New York NY 10017-3624 Ph: () - | The Beacon Program 12 E 44th St Fl 4 New York NY 10017-3624 Ph: (646) 559-9019 |
| NPI Number | 1306291331 |
|---|---|
| Provider Enumeration Date | 04/27/2016 |
| Last Update Date | 04/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306291331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | P99603 (New York) | Primary |
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