| Third Ear Psychology Pc | |
|
185 Madison Ave Rm 1700c New York NY 10016-4325 | |
| (917) 579-6796 | |
| (212) 260-1941 |
| Full Name | Third Ear Psychology Pc |
|---|---|
| Speciality | Psychologist |
| Location | 185 Madison Ave Rm 1700c, New York, New York |
| Authorized Official Name and Position | Lisa E Harris (PRESIDENT) |
| Authorized Official Contact | 9175796796 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Third Ear Psychology Pc 185 Madison Ave Rm 1700c New York NY 10016-4325 Ph: (917) 579-6796 | Third Ear Psychology Pc 185 Madison Ave Rm 1700c New York NY 10016-4325 Ph: (917) 579-6796 |
| NPI Number | 1376915272 |
|---|---|
| Provider Enumeration Date | 10/30/2015 |
| Last Update Date | 06/24/2024 |
| Certification Date | 06/24/2024 |
| Medicare PECOS PAC ID | 5496030330 |
|---|---|
| Medicare Enrollment ID | O20170316000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376915272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 020401 (New York) | Primary |
| Provider Name | Lisa E Harris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780909861 PECOS PAC ID: 6406072610 Enrollment ID: I20140724001000 |
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