| Trifecta Health Medical Pc | |
|
115 Broadway Ste. 1300 New York NY 10006-1604 | |
| (212) 233-2830 | |
| (888) 348-5193 |
| Full Name | Trifecta Health Medical Pc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 115 Broadway, New York, New York |
| Authorized Official Name and Position | Edward Fruitman (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2122332830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trifecta Health Medical Pc 115 Broadway Ste. 1300 New York NY 10006-1604 Ph: (212) 233-2830 | Trifecta Health Medical Pc 115 Broadway Ste. 1300 New York NY 10006-1604 Ph: (212) 233-2830 |
| NPI Number | 1740559012 |
|---|---|
| Provider Enumeration Date | 12/15/2011 |
| Last Update Date | 12/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740559012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 747423UPD (New York) | Primary |
Bimc Fpp Dept Of Psych Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Nathan D. Perlman Place, 16th Street At 1st Avenue, New York, NY 10003 Phone: 212-420-4714 | |
Joan Poelvoorde Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 W 34th St, Penthouse, New York, NY 10001 Phone: 646-473-0138 Fax: 646-473-0138 | |
Laurie D Gilkes Lcsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 330 E 79th St, Suite 1g, New York, NY 10075 Phone: 212-737-0560 Fax: 212-737-0560 | |
National Federation For Autism Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 336 Fort Washington Ave, First Floor, New York, NY 10033 Phone: 917-783-2431 | |
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