| Ttc Psychiatric Pc | |
|
333 Adams St Bedford Hills NY 10507-2001 | |
| (914) 242-0725 | |
| (914) 242-5152 |
| Full Name | Ttc Psychiatric Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 333 Adams St, Bedford Hills, New York |
| Authorized Official Name and Position | Lorraine Innes (DIRECTOR) |
| Authorized Official Contact | 9142410758 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ttc Psychiatric Pc 333 Adams St Bedford Hills NY 10507-2001 Ph: (914) 242-0725 | Ttc Psychiatric Pc 333 Adams St Bedford Hills NY 10507-2001 Ph: (914) 242-0725 |
| NPI Number | 1194831008 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5698868818 |
|---|---|
| Medicare Enrollment ID | O20070905000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194831008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Lorraine Innes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194769976 PECOS PAC ID: 7214022409 Enrollment ID: I20091216000139 |
| Provider Name | Nicholas Banker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770060071 PECOS PAC ID: 0749601805 Enrollment ID: I20200528002502 |
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