| Thomas J Krisher, Psyd Pc | |
|
6836 E Genesee St Fayetteville NY 13066-1024 | |
| (315) 446-6027 | |
| Not Available |
| Full Name | Thomas J Krisher, Psyd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 6836 E Genesee St, Fayetteville, New York |
| Authorized Official Name and Position | Thomas J Krisher (OWNER) |
| Authorized Official Contact | 3154466027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Krisher, Psyd Pc 6836 E Genesee St Fayetteville NY 13066-1024 Ph: (315) 446-6027 | Thomas J Krisher, Psyd Pc 6836 E Genesee St Fayetteville NY 13066-1024 Ph: (315) 446-6027 |
| NPI Number | 1497981807 |
|---|---|
| Provider Enumeration Date | 06/01/2009 |
| Last Update Date | 06/01/2009 |
| Medicare PECOS PAC ID | 5193849057 |
|---|---|
| Medicare Enrollment ID | O20150326001957 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497981807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 009563 (New York) | Primary |
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