| The Psychology Office Of Dr. Connie Jasmine Castro Pllc | |
|
5392 62nd St Maspeth NY 11378 | |
| (917) 991-1615 | |
| Not Available |
| Full Name | The Psychology Office Of Dr. Connie Jasmine Castro Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 5392 62nd St, Maspeth, New York |
| Authorized Official Name and Position | Connie Jasmine Castro (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9179911615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Psychology Office Of Dr. Connie Jasmine Castro Pllc 5392 62nd St Maspeth NY 11378-1233 Ph: (917) 991-1615 | The Psychology Office Of Dr. Connie Jasmine Castro Pllc 5392 62nd St Maspeth NY 11378 Ph: (917) 991-1615 |
| NPI Number | 1407333800 |
|---|---|
| Provider Enumeration Date | 07/27/2018 |
| Last Update Date | 08/28/2018 |
| Medicare PECOS PAC ID | 7012266851 |
|---|---|
| Medicare Enrollment ID | O20180828000302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407333800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 022577 (New York) | Primary |
| Provider Name | Connie Jasmine Castro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508128083 PECOS PAC ID: 0143579904 Enrollment ID: I20180828001695 |
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